Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases

Rajendra Kumar Tanwar; Bharti Saxena; Radha Garg; Harsh Goyal; Des Deepak

doi:doi:10.11648/j.crj.20200803.11

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Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases

Rajendra Kumar Tanwar, Bharti Saxena, Radha Garg, Harsh Goyal, Des Deepak

Received: 13 July 2020 Accepted: 3 August 2020 Published: 10 August 2020

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Abstract

Background – The aim of this study is to analyze the clinicopathological features, diagnosis and appropriate treatment outcome of patients with gestational trophoblastic neoplasia (GTN), a heterogenous group of disorder in a government tertiary care hospital center. Method– This is a retrospective study of 23 patients from 2002-2020 over 18 years. The patients were evaluated on the basis of their age, obstetric history and the treatment received. All the patients were scored according to Modified World Health Organization (WHO) prognostic scoring system as adapted by FIGO Year 2000. Low risk group patients were given injection Methotrexate + Calcium Leucovorin and high risk group were given EMACO regimen. After treatment, the patient follow up was till date or minimum up to 2 years. The response to treatment was evaluated by regular clinical and radiological examination and serum β-hCG level estimation. Results – Three out of 23 patients who relapsed after primary chemotherapy were given second line chemotherapy. All three patients achieved complete remission (CR) after salvage chemotherapy. Thus overall response rate is 100%. Conclusion – Proper diagnosis, close monitoring and follow up with β-hCG value is of utmost importance in the management of GTN, WHO/FIGO scoring should be done and managed with chemotherapy treatment according to the risk assessment.

DOI	10.11648/j.crj.20200803.11
Published in	Cancer Research Journal (Volume 8, Issue 3, September 2020)
Page(s)	45-50
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Gestational Trophoblastic Neoplasia, EMACO Regimen, Invasive Mole, Choriocarcinoma

References

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APA Style

Rajendra Kumar Tanwar, Bharti Saxena, Radha Garg, Harsh Goyal, Des Deepak. (2020). Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Research Journal, 8(3), 45-50. https://doi.org/10.11648/j.crj.20200803.11

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ACS Style

Rajendra Kumar Tanwar; Bharti Saxena; Radha Garg; Harsh Goyal; Des Deepak. Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Res. J. 2020, 8(3), 45-50. doi: 10.11648/j.crj.20200803.11

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AMA Style

Rajendra Kumar Tanwar, Bharti Saxena, Radha Garg, Harsh Goyal, Des Deepak. Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Res J. 2020;8(3):45-50. doi: 10.11648/j.crj.20200803.11

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@article{10.11648/j.crj.20200803.11,
  author = {Rajendra Kumar Tanwar and Bharti Saxena and Radha Garg and Harsh Goyal and Des Deepak},
  title = {Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases},
  journal = {Cancer Research Journal},
  volume = {8},
  number = {3},
  pages = {45-50},
  doi = {10.11648/j.crj.20200803.11},
  url = {https://doi.org/10.11648/j.crj.20200803.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200803.11},
  abstract = {Background – The aim of this study is to analyze the clinicopathological features, diagnosis and appropriate treatment outcome of patients with gestational trophoblastic neoplasia (GTN), a heterogenous group of disorder in a government tertiary care hospital center. Method– This is a retrospective study of 23 patients from 2002-2020 over 18 years. The patients were evaluated on the basis of their age, obstetric history and the treatment received. All the patients were scored according to Modified World Health Organization (WHO) prognostic scoring system as adapted by FIGO Year 2000. Low risk group patients were given injection Methotrexate + Calcium Leucovorin and high risk group were given EMACO regimen. After treatment, the patient follow up was till date or minimum up to 2 years. The response to treatment was evaluated by regular clinical and radiological examination and serum β-hCG level estimation. Results – Three out of 23 patients who relapsed after primary chemotherapy were given second line chemotherapy. All three patients achieved complete remission (CR) after salvage chemotherapy. Thus overall response rate is 100%. Conclusion – Proper diagnosis, close monitoring and follow up with β-hCG value is of utmost importance in the management of GTN, WHO/FIGO scoring should be done and managed with chemotherapy treatment according to the risk assessment.},
 year = {2020}
}

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TY - JOUR
T1 - Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases
AU - Rajendra Kumar Tanwar
AU - Bharti Saxena
AU - Radha Garg
AU - Harsh Goyal
AU - Des Deepak
Y1 - 2020/08/10
PY - 2020
N1 - https://doi.org/10.11648/j.crj.20200803.11
DO - 10.11648/j.crj.20200803.11
T2 - Cancer Research Journal
JF - Cancer Research Journal
JO - Cancer Research Journal
SP - 45
EP - 50
PB - Science Publishing Group
SN - 2330-8214
UR - https://doi.org/10.11648/j.crj.20200803.11
AB - Background – The aim of this study is to analyze the clinicopathological features, diagnosis and appropriate treatment outcome of patients with gestational trophoblastic neoplasia (GTN), a heterogenous group of disorder in a government tertiary care hospital center. Method– This is a retrospective study of 23 patients from 2002-2020 over 18 years. The patients were evaluated on the basis of their age, obstetric history and the treatment received. All the patients were scored according to Modified World Health Organization (WHO) prognostic scoring system as adapted by FIGO Year 2000. Low risk group patients were given injection Methotrexate + Calcium Leucovorin and high risk group were given EMACO regimen. After treatment, the patient follow up was till date or minimum up to 2 years. The response to treatment was evaluated by regular clinical and radiological examination and serum β-hCG level estimation. Results – Three out of 23 patients who relapsed after primary chemotherapy were given second line chemotherapy. All three patients achieved complete remission (CR) after salvage chemotherapy. Thus overall response rate is 100%. Conclusion – Proper diagnosis, close monitoring and follow up with β-hCG value is of utmost importance in the management of GTN, WHO/FIGO scoring should be done and managed with chemotherapy treatment according to the risk assessment.
VL - 8
IS - 3
ER -

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Author Information

Rajendra Kumar Tanwar

Deaprtment of Radiation Oncology, Government Medical College, Kota, Rajasthan University of Health Sciences, Jaipur, Rajasthan, India
Bharti Saxena

Deaprtment of Obstetrics and Gynecology, Government Medical College, Kota, Rajasthan University of Health Sciences, Jaipur, Rajasthan, India
Radha Garg

Deaprtment of Obstetrics and Gynecology, Government Medical College, Kota, Rajasthan University of Health Sciences, Jaipur, Rajasthan, India
Harsh Goyal

Deaprtment of Radiation Oncology, Government Medical College, Kota, Rajasthan University of Health Sciences, Jaipur, Rajasthan, India
Des Deepak

Department of Obstetrics and Gynecology, Rajdeep Fertility Research Centre, Kota, Rajasthan, India

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APA Style

Rajendra Kumar Tanwar, Bharti Saxena, Radha Garg, Harsh Goyal, Des Deepak. (2020). Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Research Journal, 8(3), 45-50. https://doi.org/10.11648/j.crj.20200803.11

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ACS Style

Rajendra Kumar Tanwar; Bharti Saxena; Radha Garg; Harsh Goyal; Des Deepak. Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Res. J. 2020, 8(3), 45-50. doi: 10.11648/j.crj.20200803.11

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AMA Style

Rajendra Kumar Tanwar, Bharti Saxena, Radha Garg, Harsh Goyal, Des Deepak. Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Res J. 2020;8(3):45-50. doi: 10.11648/j.crj.20200803.11

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@article{10.11648/j.crj.20200803.11,
  author = {Rajendra Kumar Tanwar and Bharti Saxena and Radha Garg and Harsh Goyal and Des Deepak},
  title = {Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases},
  journal = {Cancer Research Journal},
  volume = {8},
  number = {3},
  pages = {45-50},
  doi = {10.11648/j.crj.20200803.11},
  url = {https://doi.org/10.11648/j.crj.20200803.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200803.11},
  abstract = {Background – The aim of this study is to analyze the clinicopathological features, diagnosis and appropriate treatment outcome of patients with gestational trophoblastic neoplasia (GTN), a heterogenous group of disorder in a government tertiary care hospital center. Method– This is a retrospective study of 23 patients from 2002-2020 over 18 years. The patients were evaluated on the basis of their age, obstetric history and the treatment received. All the patients were scored according to Modified World Health Organization (WHO) prognostic scoring system as adapted by FIGO Year 2000. Low risk group patients were given injection Methotrexate + Calcium Leucovorin and high risk group were given EMACO regimen. After treatment, the patient follow up was till date or minimum up to 2 years. The response to treatment was evaluated by regular clinical and radiological examination and serum β-hCG level estimation. Results – Three out of 23 patients who relapsed after primary chemotherapy were given second line chemotherapy. All three patients achieved complete remission (CR) after salvage chemotherapy. Thus overall response rate is 100%. Conclusion – Proper diagnosis, close monitoring and follow up with β-hCG value is of utmost importance in the management of GTN, WHO/FIGO scoring should be done and managed with chemotherapy treatment according to the risk assessment.},
 year = {2020}
}

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