Gestational trophoblastic neoplasia surgery: Difference between revisions

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* Indication
* Indication
:* As the primary treatment for gestational trophoblastic neoplasia
:* As the primary treatment for gestational trophoblastic neoplasia
:* Recurrence of Gestational trophoblastic neoplasia  after other treatments  
:* Recurrence of gestational trophoblastic neoplasia  after other treatments  
Hysterectomy   
Hysterectomy   
:* [[Hysterectomy]] may be offered to women with gestational trophoblastic neoplasia that has not spread outside of the uterus and who no longer wish to have children.  
:* [[Hysterectomy]] may be offered to women with gestational trophoblastic neoplasia that has not spread outside of the uterus and who no longer wish to have children.  
:* Hysterectomy may also be recommended to women with  gestational trophoblastic neoplasia that does not respond to chemotherapy.
:* Hysterectomy may also be recommended to women with  gestational trophoblastic neoplasia 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 gestational trophoblastic neoplasia that has spread to distant sites in the body, such as the [[brain]], [[intestines]], [[kidney]], [[liver]], [[lungs]], and [[spleen]].  
* Surgery may be done for gestational trophoblastic neoplasia that has spread to distant sites in the body, such as the [[brain]], [[intestines]], [[kidney]], [[liver]], [[lungs]], and [[spleen]].  

Revision as of 00:14, 16 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]

Surgery

Hysterectomy

Surgery is one of the main treatments for gestational trophoblastic neoplasia[1]

  • Indication
  • As the primary treatment for gestational trophoblastic neoplasia
  • Recurrence of gestational trophoblastic neoplasia after other treatments

Hysterectomy

  • Hysterectomy may be offered to women with gestational trophoblastic neoplasia that has not spread outside of the uterus and who no longer wish to have children.
  • Hysterectomy may also be recommended to women with gestational trophoblastic neoplasia 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 gestational trophoblastic neoplasia 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

  1. 1.0 1.1 Treatment of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/treatment/?region=ns#type Accessed on October 10, 2015

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