Gestational trophoblastic neoplasia surgery
Template:Choriocarcinoma Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Hysterectomy
Surgery is one of the main treatments for GTD. Surgery may be used:
- 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.