Outcomes of Gestational Trophoblastic Disease Management: A Single Centre Review

<i>Background and Objectives</i>: Gestational trophoblastic disease (GTD) is a group of pregnancy-related malignant and premalignant diseases. The aim of this study was to assess the prognostic value of clinical characteristics to predict treatment outcomes in women with GTD. <i>Ma...

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Bibliographic Details
Main Authors: Eva Pavla Malovrh, Nuša Lukinovič, Monika Sobočan, Jure Knez
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/9/1632
Description
Summary:<i>Background and Objectives</i>: Gestational trophoblastic disease (GTD) is a group of pregnancy-related malignant and premalignant diseases. The aim of this study was to assess the prognostic value of clinical characteristics to predict treatment outcomes in women with GTD. <i>Materials and Methods</i>: In this retrospective study, 34 patients treated for GTD at the Division of Gynaecology and Perinatology, University Medical Centre Maribor, between 2008 and 2022 were identified. Clinical and pathological characteristics were obtained by analysing patient data records. <i>Results</i>: Within the cohort of 34 patients with GTD, 29 patients (85.3%) had a partial hydatidiform mole (HM) and five patients545 (14.7%) had a complete HM. Two patients with a complete HM developed a postmolar gestational trophoblastic neoplasia (GTN), which represents 5.8% of all cases. <i>Conclusions</i>: GTD is a rare disease that is frequently asymptomatic. The subsequent consequences of GTD, which can lead to malignant transformation, as well life-threatening disease complications, warrant training for early recognition of HMs and timely treatment and surveillance.
ISSN:1010-660X
1648-9144