Treatments for Choriocarcinoma
Treatments for Choriocarcinoma
The list of treatments mentioned in various sources
for Choriocarcinoma
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Drugs and Medications used to treat Choriocarcinoma:
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or change in treatment plans.
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Abruptio placentae:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of abruptio placentae is designed to assess, control, and restore the amount of blood lost; to deliver a viable infant; and to prevent coagulation disorders. Immediate measures for abruptio placentae include starting I.V. infusion (via large-bore catheter) of appropriate fluids (lactated Ringer’s solution) to combat hypovolemia; placement of a central venous pressure line and urinary catheter to monitor fluid status; drawing blood for Hb levels and hematocrit determination, for coagulation studies, and for type and crossmatching; external electronic fetal monitoring; and monitoring of maternal vital signs and vaginal bleeding.
After determination of the severity of abruption and appropriate fluid and blood replacement, prompt delivery by cesarean birth is necessary if the fetus is in distress. If the fetus isn’t in distress, monitoring continues; delivery is usually performed at the first sign of fetal distress. Because of possible fetal blood loss through the placenta, a pediatric team should be ready at delivery to assess and treat the neonate for shock, blood loss, and hypoxia. If placental separation is severe and there are no signs of fetal life, vaginal delivery may be performed unless uncontrolled hemorrhage or other complications contraindicate it.
Complications of abruptio placentae require appropriate treatment. For example, DIC requires immediate intervention with heparin, platelets, and whole blood to prevent exsanguination.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Placenta previa:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of placenta previa is designed to assess, control, and restore blood loss; to deliver a viable infant; and to prevent coagulation disorders. Immediate therapy includes starting an I.V. line using a large-bore catheter; drawing blood for hemoglobin levels and hematocrit as well as type and crossmatching; initiating external electronic fetal monitoring; monitoring maternal blood pressure, pulse rate, and respirations; and assessing the amount of vaginal bleeding.
If the fetus is premature, following determination of the degree of placenta previa and necessary fluid and blood replacement, treatment consists of careful observation to allow the fetus more time to mature. If clinical evaluation confirms complete placenta previa, the patient may be hospitalized because of the increased risk of hemorrhage. As soon as the fetus is sufficiently mature, or in case of intervening severe hemorrhage, immediate delivery by cesarean birth may be necessary. Vaginal delivery is considered only when the bleeding is minimal and the placenta previa is marginal, or when the labor is rapid. Because of the possibility of fetal blood loss through the placenta, a pediatric team should be on hand during such delivery to immediately assess and treat neonatal shock, blood loss, and hypoxia.
Complications of placenta previa necessitate appropriate and immediate intervention.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Malignant spinal neoplasms:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of spinal cord tumors generally includes decompression or radiation. Laminectomy is indicated for primary tumors that produce spinal cord or cauda equina compression; it isn't usually indicated for metastatic tumors. If the tumor is slowly progressive or if it's treated before the cord degenerates from compression, symptoms are likely to disappear, and complete restoration of function is possible. In a patient with metastatic carcinoma or lymphoma who suddenly experiences complete transverse myelitis with spinal shock, functional improvement is unlikely, even with treatment, and his outlook is ominous. If the patient has incomplete paraplegia of rapid onset, emergency surgical decompression may save cord function. Steroid therapy with dexamethasone minimizes cord edema and temporarily relieves symptoms until surgery can be performed. Partial removal of intramedullary gliomas, followed by radiation, may alleviate symptoms for a short time. Metastatic extradural tumors can be controlled with radiation, analgesics and, in the case of hormone-mediated tumors (breast and prostate), appropriate hormone therapy. Transcutaneous electrical nerve stimulation (TENS) may control radicular pain from spinal cord tumors and is a useful alternative to opioid analgesics. In TENS, an electrical charge is applied to the skin to stimulate large-diameter nerve fibers and thereby inhibit transmission of pain impulses through small-diameter nerve fibers. Chemotherapy generally hasn't proven effective against most spinal tumors, but may be recommended in some cases.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Abruptio placentae:
Treatment
(Handbook of Diseases)
Treatment of abruptio placentae is designed to assess, control, and restore the amount of blood lost; to deliver a viable infant; and to prevent coagulation disorders. Immediate measures for abruptio placentae include starting I.V. infusion (via a large-bore catheter) of appropriate fluids (lactated Ringer’s solution) to combat hypovolemia; placing a central venous line and urinary catheter to monitor fluid status; drawing a blood sample for Hb level and hematocrit determination, coagulation studies, and typing and crossmatching; initiating external electronic fetal monitoring; and monitoring maternal vital signs and vaginal bleeding.
After determination of the severity of abruption and appropriate fluid and blood replacement, prompt delivery by cesarean birth is necessary if the fetus is in distress. If the fetus isn’t in distress, monitoring continues; delivery is usually performed at the first sign of fetal distress. Because fetal blood loss through the placenta is possible, a pediatric team should be ready at delivery to assess and treat the neonate for shock, blood loss, and hypoxia. If placental separation is severe and there are no signs of fetal life, vaginal delivery may be performed unless uncontrolled hemorrhage or other complications contraindicate it.
Complications of abruptio placentae require appropriate treatment. For example, DIC requires immediate intervention with fresh frozen plasma, platelets, and whole blood to prevent exsanguination.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Placenta previa:
Treatment
(Handbook of Diseases)
Treatment of placenta previa is designed to assess, control, and restore blood loss; to deliver a viable infant; and to prevent coagulation disorders. Immediate therapy includes starting an I.V. line using a large-bore catheter; drawing blood for a hemoglobin level and hematocrit as well as typing and crossmatching; initiating external electronic fetal monitoring; monitoring maternal blood pressure, pulse rate, and respirations; and assessing the amount of vaginal bleeding.
If the fetus is premature — after the degree of placenta previa and necessary fluid and blood replacement have been determined — treatment consists of careful observation, which allows the fetus more time to mature. If clinical evaluation confirms total placenta previa, the patient will likely be hospitalized because of the increased risk of hemorrhage. Immediate delivery by cesarean section may be necessary when the fetus is sufficiently mature or sooner if the patient experiences severe hemorrhage. Vaginal delivery is considered only when bleeding is minimal and the placenta previa is marginal or when labor is rapid. Because of the possibility of fetal blood loss through the placenta, a pediatric team should be on hand during the delivery to immediately assess and treat neonatal shock, blood loss, and hypoxia.
Complications of placenta previa necessitate appropriate and immediate intervention.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Lymphomas, malignant:
Treatment
(Handbook of Diseases)
Radiation therapy is used mainly in the early localized stage of the disease. Total nodal irradiation is usually effective for nodular and diffuse histologies.
Chemotherapy is most effective with multiple combinations of antineoplastics; remissions and cures may be induced in this manner. Some cases have required intrathecal chemotherapy. Bone marrow and stem cell transplants have also proved helpful.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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