This page has moved. Click here to view.

 

Management of Gestational Trophoblastic Neoplasia

Gestational trophoblastic disease (GTD): "benign" trophoblastic disease

Transitional mole

Incomplete mole/partial mole

Hydatidiform mole

Gestational trophoblastic neoplasia (GTN'): gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole, choriocarcinoma, moler pregnancy "malignant" gestational trophoblastic disease

Hydatidiform mole

Invasive mole

Placental site tumor (Trophoblastic pseudotumor)

Choriocarcinoma

Blighted ovum: transitional gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole, choriocarcinoma, moler pregnancy mole

Embryo or membranes present

Minimal trophoblastic proliferation gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole

No cistern formation

Villi only slightly enlarged gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole

Genetically abnormal gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole

Placental site trophoblastic tumor (trophoblastic pseudotumor)

An indolent neoplasm composed of the intermediate trophoblast

Usually confined to the gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole, choriocarcinoma, moler pregnancy uterus

Chorionic villi are absent

Gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole

Failure of development of fetal circulation with gestational trophoblastic neoplasia, molar pregnancy, mole, hydatiform mole resultant hydropic swelling of villi

Overgrowth of the villous trophoblast with secondary hydropic swelling

There is an increased risk of complete hydatidiform mole at both ends of the reproductive age spectrum, ie, teenagers and women over 40 years of age

Malignant sequelae after complete hydatidiform mole occur more frequently in women over 40 years of age

Maternal age appears to have no effect on the risk of complete hydafidiform mole or partial mole

4. Paternal age does not appear to have an effect on the risk of complete hydatidiform mole or partial mole

C. Geographic incidence of GTN

 

TOC