Diagnosis, classification and treatment of gestational trophoblastic neoplasia

Gestational trophoblastic neoplasia (GTN) is the term to describe a set of malignant placental diseases, including invasive mole, choriocarcinoma, placental site trophoblastic tumor and epithelioid trophoblastic tumor. Both invasive mole and choriocarcinoma respond well to chemotherapy, and cure rat...

Full description

Bibliographic Details
Main Authors: Andressa Biscaro, Antônio Braga, Ross Stuart Berkowitz
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2015-01-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032015000100042&tlng=en
_version_ 1798021258481238016
author Andressa Biscaro
Antônio Braga
Ross Stuart Berkowitz
author_facet Andressa Biscaro
Antônio Braga
Ross Stuart Berkowitz
author_sort Andressa Biscaro
collection DOAJ
description Gestational trophoblastic neoplasia (GTN) is the term to describe a set of malignant placental diseases, including invasive mole, choriocarcinoma, placental site trophoblastic tumor and epithelioid trophoblastic tumor. Both invasive mole and choriocarcinoma respond well to chemotherapy, and cure rates are greater than 90%. Since the advent of chemotherapy, low-risk GTN has been treated with a single agent, usually methotrexate or actinomycin D. Cases of high-risk GTN, however, should be treated with multiagent chemotherapy, and the regimen usually selected is EMA-CO, which combines etoposide, methotrexate, actinomycin D, cyclophosphamide and vincristine. This study reviews the literature about GTN to discuss current knowledge about its diagnosis and treatment.
first_indexed 2024-04-11T17:12:00Z
format Article
id doaj.art-e59fbf0307764e20b8d386515e56cdfb
institution Directory Open Access Journal
issn 0100-7203
language English
last_indexed 2024-04-11T17:12:00Z
publishDate 2015-01-01
publisher Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
record_format Article
series Revista Brasileira de Ginecologia e Obstetrícia
spelling doaj.art-e59fbf0307764e20b8d386515e56cdfb2022-12-22T04:12:54ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032015-01-01371425110.1590/SO100-720320140005198Diagnosis, classification and treatment of gestational trophoblastic neoplasiaAndressa BiscaroAntônio BragaRoss Stuart BerkowitzGestational trophoblastic neoplasia (GTN) is the term to describe a set of malignant placental diseases, including invasive mole, choriocarcinoma, placental site trophoblastic tumor and epithelioid trophoblastic tumor. Both invasive mole and choriocarcinoma respond well to chemotherapy, and cure rates are greater than 90%. Since the advent of chemotherapy, low-risk GTN has been treated with a single agent, usually methotrexate or actinomycin D. Cases of high-risk GTN, however, should be treated with multiagent chemotherapy, and the regimen usually selected is EMA-CO, which combines etoposide, methotrexate, actinomycin D, cyclophosphamide and vincristine. This study reviews the literature about GTN to discuss current knowledge about its diagnosis and treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032015000100042&tlng=en
spellingShingle Andressa Biscaro
Antônio Braga
Ross Stuart Berkowitz
Diagnosis, classification and treatment of gestational trophoblastic neoplasia
Revista Brasileira de Ginecologia e Obstetrícia
title Diagnosis, classification and treatment of gestational trophoblastic neoplasia
title_full Diagnosis, classification and treatment of gestational trophoblastic neoplasia
title_fullStr Diagnosis, classification and treatment of gestational trophoblastic neoplasia
title_full_unstemmed Diagnosis, classification and treatment of gestational trophoblastic neoplasia
title_short Diagnosis, classification and treatment of gestational trophoblastic neoplasia
title_sort diagnosis classification and treatment of gestational trophoblastic neoplasia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032015000100042&tlng=en
work_keys_str_mv AT andressabiscaro diagnosisclassificationandtreatmentofgestationaltrophoblasticneoplasia
AT antoniobraga diagnosisclassificationandtreatmentofgestationaltrophoblasticneoplasia
AT rossstuartberkowitz diagnosisclassificationandtreatmentofgestationaltrophoblasticneoplasia