Who gestational trophoblastic disease classification?
Gestational trophoblastic disease (GTD) can be benign or malignant. Histologically, it is classified into hydatidiform mole, invasive mole (chorioadenoma destruens), choriocarcinoma, placental site trophoblastic tumor (PSTT), and epithelioid trophoblastic tumor (ETT).
What is the Figo anatomic staging for gestational trophoblastic neoplasia GTN that has metastasized to the lungs?
FIGO anatomic staging Stage I: Disease is only in the uterus. Stage II: GTD extends outside the uterus but is limited to the genital structures. Stage III: GTD extends to the lungs and may or may not involve the genital tract. Stage IV: GTD has extended to other distant sites.
What are the three types of gestational trophoblastic disease?
Gestational trophoblastic disease (GTD) is a general term that includes different types of disease:
- Hydatidiform Moles (HM) Complete HM. Partial HM.
- Gestational Trophoblastic Neoplasia (GTN) Invasive moles. Choriocarcinomas. Placental-site trophoblastic tumors (PSTT; very rare).
What are the two most common types of gestational trophoblastic disease?
GTD is usually classified into one of two categories: Hydatidiform moles. Gestational trophoblastic neoplasia (GTN)
What causes gestational trophoblastic disease?
The most common types of gestational trophoblastic disease occur when a sperm cell fertilizes an empty egg cell or when two sperm cells fertilize a normal egg cell. Your risk is higher based on your: Age: Gestational trophoblastic disease occurs in women of childbearing age.
What are the symptoms of gestational trophoblastic disease?
Signs and Symptoms of Gestational Trophoblastic Disease
- Vaginal bleeding after delivery, miscarriage or abortion that lasts longer than six weeks and shows no signs of stopping.
- An enlarged uterus.
- Pelvic pain or pressure.
- Severe nausea and vomiting.
What is a Figo score?
The International Federation of Gynecology and Obstetrics (FIGO) developed a grading system for endometrial carcinoma. It is based on the percentage of cells in the tumour that grow in sheets (called solid tumour growth) rather than form glands. It may also take into account how abnormal the cells appear.
What is the treatment for GTD?
GTD is typically curable, especially when found early. The main treatments for GTD are surgery and/or chemotherapy. The common types of treatments used for GTD are described below. Your care plan may include treatment for symptoms and side effects, an important part of medical care.
How is GTD diagnosed?
In addition to a physical examination, the following tests may be used to diagnose GTD:
- Pelvic examination.
- Human chorionic gonadotropin (hCG) test.
- Other lab tests.
- Ultrasound.
- X-ray.
- Computed tomography (CT or CAT) scan.
- Magnetic resonance imaging (MRI).
How is gestational trophoblastic treated?
Most GTD can be cured by chemotherapy even if it is advanced. Chemotherapy is a standard treatment for gestational trophoblastic neoplasia (GTN). It may be given as the main treatment, after surgery or if the GTN comes back (recurs) after treatment.
How can GTD be prevented?
The only way to prevent GTD is to not get pregnant. However, GTD is so rare that its prevention should not be a factor in family planning decisions. If you have a condition that puts you at risk for GTD, you may benefit from consulting with a genetic counselor to determine your risk.
What is the cause of GTD?
Causes of Gestational Trophoblastic Disease Age: Gestational trophoblastic disease occurs in women of childbearing age. History of molar pregnancy. Prior miscarriage(s) or problems getting pregnant.