Treating gestational trophoblastic disease.

Abstract:

IMPORTANCE OF THE FIELD:Gestational trophoblastic disease is one of the few human malignancies that is curable, even in advanced stages of the disease. However, appropriate management and follow-up are essential components in curing this disease. AREAS COVERED IN THIS REVIEW:Observational, retrospective and prospective studies evaluating the efficacy of medical and surgical management of gestational trophoblastic disease were analyzed to provide a comprehensive review of current and new treatment modalities. We searched PubMed, Medline and the Library of Congress from January 1965 to January 2010. WHAT THE READER WILL GAIN:The reader will obtain information on how to classify gestational trophoblastic neoplasia (GTN) into low- and high-risk groups, as well as learn the medical and surgical management of low- and high-risk GTN and recurrent GTN. The effectiveness of treatment regimens and subsequent fertility is also reviewed. TAKE HOME MESSAGE:GTN is highly responsive to chemotherapy. However, surgery is an important adjunct in select cases. Even in advanced-stage or recurrent disease, cure can be achieved and fertility preserved.

authors

Rodriguez N,Goldstein DP,Berkowitz RS

doi

10.1517/14656566.2010.512288

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

3027-39

issue

18

eissn

1465-6566

issn

1744-7666

journal_volume

11

pub_type

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