Title:Management of Gestational Trophoblastic Diseases-An Update
Volume: 10
Issue: 4
Author(s): Dipanwita Banerjee, Salil D. Barsode and Partha Basu
Affiliation:
Keywords:
Gestational Trophoblastic Disease, Gestational Trophoblastic Neoplasia, Management Risk Scoring in GTD, role
of chemotherapy.
Abstract: Introduction: Gestational trophoblastic disease is a spectrum of neoplastic abnormalities arising from
fetal trophoblastic tissue. The range of the diseases in this group varies from relatively benign Hydatidifom
mole (complete and partial mole) to highly malignant choriocarcinoma.
Methods: We have reviewed the available literature and discussed the management and follow up based on the current
understanding of the natural history, extent and the prognosis of the disease.
Key observations: Depending on the underlying pathology the disease can subside, progress or even metastasize and lead
to death, if left untreated. The treatment of the disease is relatively simple and the disease is highly curable by single or
multi agent chemotherapy. Appropriate and timely treatment not only saves the women from morbidity and death but also
can help preserve their fertility.
Conclusions: Management of Gestational disease should ideally be done in a specialized multi-disciplinary environment
and the outcome of treatment in majority of the cases is very satisfactory.
