Gestational trophoblastic neoplasia surgery: Difference between revisions
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{{CMG}}{{AE}}{{MD}} | {{CMG}}{{AE}}{{MD}} | ||
==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for choriocarcinoma. | [[Surgery]] is the mainstay of treatment for choriocarcinoma.<ref name= abc> Low-Risk Gestational Trophoblastic Neoplasia (FIGO Score 0–6) Treatment. National Cancer Institute. http://www.cancer.gov/types/gestational-trophoblastic/hp/gtd-treatment-pdq/#section/_326 Accessed on October 8, 2015</ref><ref name=xxx> High-Risk Gestational Trophoblastic Neoplasia (FIGO Score ≥7) Treatment. National Cancer Institute. http://www.cancer.gov/types/gestational-trophoblastic/hp/gtd-treatment-pdq/#section/_328 Accessed on October 8, 2015</ref> | ||
==Surgery== | ==Surgery== | ||
===Hysterectomy=== | ===Hysterectomy=== | ||
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:* Recurrence of GTD after other treatments | :* Recurrence of GTD after other treatments | ||
Hysterectomy | Hysterectomy | ||
:* Hysterectomy may be offered to women with malignant GTD that has not spread outside of the uterus and who no longer wish to have children. | :* [[Hysterectomy]] may be offered to women with [[malignant]] GTD that has not spread outside of the uterus and who no longer wish to have children. | ||
:* Hysterectomy may also be recommended to women with malignant GTD that does not respond to chemotherapy. | :* Hysterectomy may also be recommended to women with malignant GTD that does not respond to chemotherapy. | ||
:* Hysterectomy is the primary treatment for women with placental site trophoblastic tumours because this type of cancer does not respond well to chemotherapy. | :* Hysterectomy is the primary treatment for women with placental site trophoblastic tumours because this type of cancer does not respond well to chemotherapy. | ||
===Surgery to remove metastases=== | ===Surgery to remove metastases=== | ||
* Surgery may be done for GTD that has spread to distant sites in the body, such as the brain, intestines, kidney, liver, lungs and spleen. | * Surgery may be done for GTD that has spread to distant sites in the body, such as the brain, intestines, kidney, liver, lungs and spleen. | ||
* In the case of brain metastases, surgery may only be done if a tumor is close to the surface of the brain. | * In the case of brain [[metastases]], surgery may only be done if a tumor is close to the surface of the brain. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 21:17, 15 October 2015
Template:Choriocarcinoma 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]
Overview
Surgery is the mainstay of treatment for choriocarcinoma.[1][2]
Surgery
Hysterectomy
Surgery is one of the main treatments for GTD.
- Indication
- As the primary treatment for GTD
- Recurrence of GTD after other treatments
Hysterectomy
- Hysterectomy may be offered to women with malignant GTD that has not spread outside of the uterus and who no longer wish to have children.
- Hysterectomy may also be recommended to women with malignant GTD that does not respond to chemotherapy.
- Hysterectomy is the primary treatment for women with placental site trophoblastic tumours because this type of cancer does not respond well to chemotherapy.
Surgery to remove metastases
- Surgery may be done for GTD that has spread to distant sites in the body, such as the brain, intestines, kidney, liver, lungs and spleen.
- In the case of brain metastases, surgery may only be done if a tumor is close to the surface of the brain.
References
- ↑ Low-Risk Gestational Trophoblastic Neoplasia (FIGO Score 0–6) Treatment. National Cancer Institute. http://www.cancer.gov/types/gestational-trophoblastic/hp/gtd-treatment-pdq/#section/_326 Accessed on October 8, 2015
- ↑ High-Risk Gestational Trophoblastic Neoplasia (FIGO Score ≥7) Treatment. National Cancer Institute. http://www.cancer.gov/types/gestational-trophoblastic/hp/gtd-treatment-pdq/#section/_328 Accessed on October 8, 2015