Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia

Gestational trophoblastic neoplasia (GTN) patients can be classified into low-risk and high-risk patients based on the International Federation of Gynecology and Obstetrics(FIGO) staging and scoring system. High-risk patients have a higher risk of resistance to single-agent chemotherapy and require...

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Main Authors: MAO Mingyi, JIANG Fang, XIANG Yang
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-04-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0135
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author MAO Mingyi
JIANG Fang
XIANG Yang
author_facet MAO Mingyi
JIANG Fang
XIANG Yang
author_sort MAO Mingyi
collection DOAJ
description Gestational trophoblastic neoplasia (GTN) patients can be classified into low-risk and high-risk patients based on the International Federation of Gynecology and Obstetrics(FIGO) staging and scoring system. High-risk patients have a higher risk of resistance to single-agent chemotherapy and require combination chemotherapy. Even worse, there are some high-risk patients who develop resistance to combination chemotherapy or experience recurrence after cure. These patients exhibit strong heterogeneity and pose significant challenges to subsequent treatment, thus attracting considerable attention in recent years. Therefore, this article aims to review the risk factors and treatment strategies for high-risk resistant and recurrent GTN patients, in order to provide a basis for early identification of high-risk patients and their precise treatment.
format Article
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institution Kabale University
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language zho
publishDate 2024-04-01
publisher Editorial Office of Medical Journal of Peking Union Medical College Hospital
record_format Article
series Xiehe Yixue Zazhi
spelling doaj-art-3ef503ef6c184bddba671bbbbd7a87dc2025-02-08T07:47:34ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-04-0116115716210.12290/xhyxzz.2024-0135Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic NeoplasiaMAO MingyiJIANG Fang0XIANG Yang1National Clinical Research Center for Obstetric & Gynecologic Diseases, Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaNational Clinical Research Center for Obstetric & Gynecologic Diseases, Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaGestational trophoblastic neoplasia (GTN) patients can be classified into low-risk and high-risk patients based on the International Federation of Gynecology and Obstetrics(FIGO) staging and scoring system. High-risk patients have a higher risk of resistance to single-agent chemotherapy and require combination chemotherapy. Even worse, there are some high-risk patients who develop resistance to combination chemotherapy or experience recurrence after cure. These patients exhibit strong heterogeneity and pose significant challenges to subsequent treatment, thus attracting considerable attention in recent years. Therefore, this article aims to review the risk factors and treatment strategies for high-risk resistant and recurrent GTN patients, in order to provide a basis for early identification of high-risk patients and their precise treatment.https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0135gestational trophoblastic neoplasiahigh-riskresistancerecurrence
spellingShingle MAO Mingyi
JIANG Fang
XIANG Yang
Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
Xiehe Yixue Zazhi
gestational trophoblastic neoplasia
high-risk
resistance
recurrence
title Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
title_full Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
title_fullStr Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
title_full_unstemmed Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
title_short Current Status of Diagnosis and Treatment of High-risk Resistant and Recurrent Gestational Trophoblastic Neoplasia
title_sort current status of diagnosis and treatment of high risk resistant and recurrent gestational trophoblastic neoplasia
topic gestational trophoblastic neoplasia
high-risk
resistance
recurrence
url https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0135
work_keys_str_mv AT maomingyi currentstatusofdiagnosisandtreatmentofhighriskresistantandrecurrentgestationaltrophoblasticneoplasia
AT jiangfang currentstatusofdiagnosisandtreatmentofhighriskresistantandrecurrentgestationaltrophoblasticneoplasia
AT xiangyang currentstatusofdiagnosisandtreatmentofhighriskresistantandrecurrentgestationaltrophoblasticneoplasia