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El Test Combinado
Antoni Borrell
Course on
First trimester prenatal screening
and diagnosis
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Edad Materna Avanzada?
A.M.A.
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30
Edad Materna
70
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• Test Combinado
• Screening de primer
trimestre (FTS)
• OSCAR (One-stop
clinic for assessment of
risk)
• “First look”
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BQ
ECO
ECO
BQ
BQ ECO
R
R R
10 s. 11 s. 12 s. 13 s.
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(110 chromosomal anomalies)
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50
40
30
%
MS
20
US
10
0
7 8 9 10 11 12 13 14
Edad gestacional (semanas)
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βhCG ng/ml
120
100
Level ng/ml
80
60
40
20
0
49 56 63 70 77 84 91 98
Gestation(days)
PAPP-A mU/I
4500
4000
3500
Level mU/I
3000
2500
2000
1500
1000
500
0
49 56 63 70 77 84 91 98
Gestation(days)
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βhCG ng/ml
120
100
80
60
Level ng/ml
40
20
49 56 63 70 77 84 91 98
Gestation(days)
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1/1414 10 1/141
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Test Combinado:
Series Prospectivas
CombinedSt
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Varía la TD en función de la
edad materna?
Test Combinado HCB (99-09)
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11
20
62
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Cribrado bioquímico de segundo trimestre:
Modalidades
Triple Test 70
Quad Test 75
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TD T21 TFP 30
65
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NIPT
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VII.. Quality Control
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