Malignant hydatidiform mole is mainly transferred to the lungs, vagina and brain through the blood. Early diagnosis and standardized treatment are the key. Treatment methods include chemotherapy, surgery and radiotherapy, and the specific plan needs to be formulated according to the condition. 1. The metastasis pathway of malignant hydatidiform mole is mainly related to the blood system. The lungs are the most common site of metastasis, and patients may experience symptoms such as coughing, chest pain, and dyspnea. Vaginal metastasis manifests as abnormal bleeding or lumps, while brain metastasis may cause headaches, vomiting, blurred vision, and even impaired consciousness. The appearance of these symptoms indicates that the disease is progressing and requires prompt medical attention. 2. Chemotherapy is the main treatment for malignant hydatidiform mole. Commonly used drugs include methotrexate, actinomycin D and etoposide, which can effectively inhibit the growth and spread of tumor cells. The chemotherapy regimen needs to be personalized according to the patient's age, severity of the disease and metastatic site, and usually requires multiple courses of treatment. 3. Surgical treatment is necessary in some cases. For patients with severe local lesions, hysterectomy may be required to completely remove the lesions. For isolated lesions with vaginal or lung metastases, local excision or radiotherapy may also be considered. Chemotherapy is usually required before and after surgery to improve the efficacy. 4. Radiotherapy is mainly used to control local lesions and relieve symptoms in the treatment of malignant hydatidiform mole. For patients with brain metastasis, whole brain radiotherapy is a common method, which can effectively relieve symptoms such as headache and vomiting, and prolong survival. Radiotherapy is usually used in combination with chemotherapy to achieve the best treatment effect. 5. The prognosis of malignant hydatidiform mole is closely related to early diagnosis and standardized treatment. Patients need to have regular follow-up examinations during treatment to monitor tumor markers such as β-hCG levels, as well as imaging examinations such as CT or MRI to evaluate the treatment effect and detect recurrence in a timely manner. Psychological support and nutritional conditioning are also important parts of the rehabilitation process, which can help improve the patient's quality of life and treatment effect. The metastatic site and treatment plan of malignant hydatidiform mole need to be formulated according to individual conditions. Early detection and standardized treatment are the key to improving prognosis. During the treatment process, patients need to cooperate closely with regular checkups, pay attention to physical changes, and adjust the treatment plan in time to improve the treatment effect and quality of life. |
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