Poster électronique

Que peut apporter l'échographie dans la pathologie trophoblastique gestationnelle ?
H. Moumou, R. Dafiri - Rabat - Maroc
Congrès 2011
Résumé
Objectifs
Préciser la sémiologie échographique des différentes pathologies du trophoblaste et illustrer leurs aspects iconographiques. Montrer la place de l’échographie dans le diagnostic, l’extension et le suivi post-thérapeutique.
Matériels et méthodes
Revue rétrospective sur 5 ans des échographies réalisées chez des patientes présentant une pathologie trophoblastique gestationnelle confirmée histologiquement avec sélection des aspects iconographiques fréquents les plus didactiques, ainsi que les pièges et erreurs possibles.
Résultats
Exposition d'un atlas illustré des différents aspects échographiques de la pathologie trophoblastique gestationnelle (môles hydatiformes (MH) complètes et partielles, tumeurs trophoblastiques persistantes (MTP) avec métastases pulmonaires chez quatre patientes et 1 cas de grossesse gémellaire avec môle complète). Dans le cadre des MH, l'échographie s'avère performante pour évoquer précocement le diagnostic de môle complète. En matière de MTP, l'échographie endovaginale avec Doppler couleur permet d'étudier l'invasion myométriale et l'échographie abdominale d'éliminer des métastases hépatiques.
Conclusion
Malgré l'essor des différentes techniques d'imagerie dans la pathologie obstétricale, l'échographie couplée au doppler demeure un outil incontournable dans le diagnostic tant positif que différentiel de la pathologie trophoblastique gestationnelle.
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2013-08-23 00.47 :
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interet de l'irm?????????????
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