Gestational trophoblastic neoplasia: an update

被引:0
作者
Jacqueline M. Morgan
John R. Lurain
机构
[1] Northwestern University Feinberg School of Medicine,John I. Brewer Trophoblastic Disease Center
来源
Current Oncology Reports | 2008年 / 10卷
关键词
Choriocarcinoma; Hydatidiform Mole; Gestational Trophoblastic Disease; Trophoblastic Tumor; Multiagent Chemotherapy;
D O I
暂无
中图分类号
学科分类号
摘要
Gestational trophoblastic neoplasia (GTN) includes invasive mole, choriocarcinoma, and placental site trophoblastic tumors. The overall cure rate in treating these tumors currently exceeds 90%. Thorough evaluation and staging allow selection of appropriate therapy that maximizes chances for cure while minimizing toxicity. Nonmetastatic (stage I) and low-risk metastatic (stages II and III, World Health Organization [WHO] score < 7) GTN can be treated with single-agent chemotherapy, resulting in a survival rate approaching 100%. High-risk metastatic GTN (stage IV, WHO score ≥ 7) requires initial multiagent chemotherapy with or without adjuvant radiation and surgery to achieve a survival rate of 80% to 90%.
引用
收藏
页码:497 / 504
页数:7
相关论文
共 132 条
[1]  
Lurain J.R.(2002)Treatment of gestational trophoblastic tumors Curr Treat Options Oncol 3 113-124
[2]  
Soper J.T.(2006)Gestational trophoblastic disease Obstet Gynecol 108 176-187
[3]  
Ngan S.(2007)Gestational trophoblastic neoplasia management: an update Curr Opin Oncol 19 486-491
[4]  
Seckl M.J.(2003)Gestational trophoblastic neoplasia, FIGO staging and classification Int J Gynecol Obstet 83 175-177
[5]  
Ngan H.Y.S.(2003)Pharmacotherapy of gestational trophoblastic disease Expert Opin Pharmacother 4 1-13
[6]  
Bender H.(2007)Dynamic staging and risk factor scoring for gestational trophoblastic disease Int J Gynecol Cancer 17 1124-1130
[7]  
Benedet J.L.(1995)Single-agent methotrexate chemotherapy for the treatment of nonmetastatic gestational trophoblastic tumors Am J Obstet Gynecol 172 574-579
[8]  
Lurain J.R.(1986)Ten years experience with methotrexate and folinic acid as primary therapy for gestational trophoblastic disease Gynecol Oncol 23 111-118
[9]  
Kohorn E.I.(1989)The role of low-dose methotrexate and folinic acid in gestational trophoblastic tumors Br J Obstet Gynecol 96 795-802
[10]  
Lurain J.R.(1985)Methotrexate with citrovorum factor rescue in gestational trophoblastic disease Am J Obstet Gynecol 152 59-62