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# I/2 I40 aos
Histerectoma totalcon mola in situ
Legrado poraspiracin
La enfermedadregresa
Si el nivel de BHCG nodesciende o permaneceelevado a las 8 semanas
Es una enfermedadtrofoblsticapersistente
Si tiene foco
extrauterino
Es una enf.trofoblsticametastsica
Quimioterapia (metotrexate)y al 3 daer
Legrado Histerectoma
Si datos de mal pronstico:- HCG>400.000 mU/ml- t>4 meses desde la
ltima gestacin- Metstasis cerebro/hgado- Fracaso de QT previa- Embarazo a trmino previo
No
Poliquimioterapia QT(MTX)
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Temperatura corporal basal
LH
FSH
Progesterona
Estradiol
Dia 5 Dia 14 Dia 21 Dia 28 Dia 5
37o
36o
0
100
200
0
0
0
25
50
75
4
8
8
12
16
16
Liberacin unimodal
Liberacin bimodal
1
4
3
2
1. Por efecto feed-back positivo de los estrgenos
2. Crece cohorte folicular
3. Seleccin del folculo dominante
4. Estmulo del crecimiento de la granulosa y la
actividad aromatasa
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