Management of Gestational Trophoblastic Disease
B Tham, J Everard, J Tidy, D Drew, B Hancock, P Savage, A Sita-Lumsden, S Dickson, R Iyer, Everard Coleman, R, A Gockley, A Melamed, N Joseph, M Clapp, S Sun, D Goldstein, M Seckl, N Sebire, R Berkowitz, F Taylor, T Grew, Everard Ellis, L Winter, M Tidy, J, R Agarwal, C Alifrangis, J Everard, P Savage, D Short, J Tidy, S Killick, J Cook, S Gillett, L Ellis, J Tidy, B Hancock, V Soto-Wright, M Berstein, D Goldstein, R Berkowitz, S Sun, A Melamed, D Goldstein, M Bernstein, N Horowitz, A Moron, N Sebire, H Rees, F Paradinas, M Seckl, E Newlands, D Fowler, I Lindsay, M Seckl, N Sebire, J Johns, N Greenwold, S Buckley, E Jauniaux, Y Tasci, S Dilbaz, O Secilmis, B Dilbaz, A Ozfuttu, A Haberal, J Savage, K Maturen, E Mowers, K Pasque, A Wasnik, V Dalton, E Jauniaux, M Memtsa, J Johns, J Ross, D Jurkovic, E Kirk, A Papageorghiou, G Condous, C Bottomley, T Bourne, C Fine, A Bundy, R Berkowitz, S Boswell, A Berezin, P Doubilet, C Benson, D Genest, M Bernstein, V Soto-Wright, Goldstein Berkowitz, R, J Ross, A Unipan, J Clarke, C Magee, J Johns
Abstract
How should a placental site trophoblastic tumour or epithelioid trophoblastic tumour be managed?All women with placental site trophoblastic tumour (PSTT) or epithelioid trophoblastic tumour (ETT) should be registered with and cared for within a GTD centre.[New 2020] D How should a placental site nodule or atypical placental site nodule be managed?Women with an atypical placental site nodule (PSN) or where the local pathology is uncertain should have their histology reviewed centrally.All women with atypical PSN will then be called up for central review to discuss the existing data, perform staging investigations and to determine further management.Women with typical PSN do not currently require further investigation or review.[New 2020] P Which women should be registered at GTD centres?All women diagnosed with GTD should be provided with written information about the condition and the need for referral for follow-up by a GTD centre should be explained.