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 is the surgical removal of the uterus. 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.
==References==