Gestational trophoblastic neoplasia staging: Difference between revisions

Revision as of 15:10, 6 October 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]


Stage	FIGO Anatomical Staging

I	Disease confined to the uterus
II	GTN extends outside of the uterus, but is limited to the genital structures (adnexa, vagina, broad ligament)
III	GTN extends to the lungs, with or without known genital tract involvement
IV	All other metastatic sites

Modified WHO Prognostic Scoring System as Adapted by FIGO
Scores	0	1	2	4
Age	<40	≥40	–	–
Antecedent pregnancy	mole	abortion	term	–
Interval months from index pregnancy	<4	4–6	7–12	>12
Pretreatment serum hCG (iu/1)	<103	103–104	104–105	>105
Largest tumor size (including uterus)	<3	3–4 cm	≥5 cm	–
Site of metastases	lung	spleen, kidney	gastrointestinal	liver, brain
Number of metastases	–	1–4	5–8	>8
Previous failed chemotherapy	–	–	single drug	≥2 drugs"

@@ Line 28: / Line 28: @@
 | style="padding: 5px 5px; background: #F5F5F5;" |
 All other metastatic sites
+|}
+{| {{table}}
+| align="center" style="background:#f0f0f0;"|'''Modified WHO Prognostic Scoring System as Adapted by FIGO'''
+|-
+| Scores||0||1||2||4
+|-
+| Age||<40||≥40||–||–
+|-
+| Antecedent pregnancy||mole||abortion||term||–
+|-
+| Interval months from index pregnancy||<4||4–6||7–12||>12
+|-
+| Pretreatment serum hCG (iu/1)||<103||103–104||104–105||>105
+|-
+| Largest tumor size (including uterus)||<3||3–4 cm||≥5 cm||–
+|-
+| Site of metastases||lung||spleen, kidney||gastrointestinal||liver, brain
+|-
+| Number of metastases||–||1–4||5–8||>8
+|-
+| Previous failed chemotherapy||–||–||single drug||≥2 drugs"
 |}