Treatment for low-risk gestational trophoblastic neoplasia. 

LIU Xiao-mei, LI Xiu-qin.

Chinese Journal of Practical Gynecology and Obstetrics ›› 2022, Vol. 38 ›› Issue (7) : 687-691.

Chinese Journal of Practical Gynecology and Obstetrics ›› 2022, Vol. 38 ›› Issue (7) : 687-691. DOI: 10.19538/j.fk2022070105

Treatment for low-risk gestational trophoblastic neoplasia. 

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Abstract

The treatment of low-risk gestational trophoblastic neoplasia,based on the chemotherapy recommended by FIGO guidelines,should be stratified again,and actinomycin D(Act-D)or methotrexate(MTX) single-agent chemotherapy should be selected for those of 0-4 points. According to some research reports,the efficacy of Act-D is better than that of MTX,and the side effects are lower;single-agent chemotherapy is recommended for those with a score of 5-6,but the indications for combined chemotherapy can be broadened. The curative effect should be closely monitored during chemotherapy,and if the single-agent chemotherapy is resistant,another single-agent or combination regimen can be used individually.

Key words

gestational trophoblastic neoplasia / low-risk / stratified treatment

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LIU Xiao-mei, LI Xiu-qin.. Treatment for low-risk gestational trophoblastic neoplasia. [J]. Chinese Journal of Practical Gynecology and Obstetrics. 2022, 38(7): 687-691 https://doi.org/10.19538/j.fk2022070105

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