Gestational trophoblastic neoplasia surgery: Difference between revisions
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==Hysterectomy== | ==Hysterectomy== | ||
Surgery is one of the main treatments for GTD. | Surgery is one of the main treatments for GTD. | ||
Indication | |||
* | * As the primary treatment for GTD | ||
* | * If GTD comes back after other treatments Hysterectomy | ||
Hysterectomy | |||
* Hysterectomy may be offered to women with malignant GTD that has not spread outside of the uterus and who no longer wish to have children. | :* Hysterectomy may be offered to women with malignant GTD that has not spread outside of the uterus and who no longer wish to have children. | ||
* Hysterectomy may also be recommended to women with malignant GTD that does not respond to chemotherapy. | :* Hysterectomy may also be recommended to women with malignant GTD 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 GTD that has spread to distant sites in the body, such as the brain, intestines, kidney, liver, lungs and spleen. | * Surgery may be done for GTD that has spread to distant sites in the body, such as the brain, intestines, kidney, liver, lungs and spleen. | ||
Revision as of 18:10, 15 October 2015
Template:Choriocarcinoma Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Hysterectomy
Surgery is one of the main treatments for GTD. Indication
- As the primary treatment for GTD
- If GTD comes back after other treatments Hysterectomy
Hysterectomy
- Hysterectomy may be offered to women with malignant GTD that has not spread outside of the uterus and who no longer wish to have children.
- Hysterectomy may also be recommended to women with malignant GTD 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 GTD 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 tumour is close to the surface of the brain.