Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/232310 |
Resumo: | OBJECTIVE: To evaluate treatment of Brazilian patients with gestational trophoblastic disease (GTD). STUDY DESIGN: A retrospective cohort study with analysis of medical reports performed in 10 Brazilian referral centers from January 2000 to December 2011. RESULTS: Of 5,250 patients 3 died (0.06%) at the time of uterine evacuation. Spontaneous remission of GTD (group G1) was observed in 4,103 cases, and 1,144 (21.8%) progressed to gestational trophoblastic neoplasia (GTN) (G2). In G1 2,716 (66.2%) had complete hydatidiform mole (HM) and 1,210, partial HM (29.5%); 3,772 patients (92.7%) recovered as noted in December 2012. In G2, of 1,118 patients treated, initial histopathological results of previous gestation were complete HM (77.5% [n=886]), partial HM (8.8% [n= 100]), and choriocarcinoma (8.0% [n=92]); 930 (81.3%) were low-risk, 200 (17.5%) were high-risk GTN, and 14 had placental site trophoblastic tumor (PSTT) (1.2%); cure was achieved in 1,078 cases (96.4%), but 26 patients (2.3%) died (4 lowrisk [0.4%], 19 high-risk [9.5%], and 3 PSTT [21.4%]). CONCLUSION: The highest death rates were due to high-risk GTN and PSTT. Patients with molar pregnancy should be referred to a referral center for an early diagnosis and prompt treatment of GTN in order to reduce the morbidity and mortality found in advanced stages. |
id |
UNSP_53c825979c4803eb37b916f3fcdb1a24 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/232310 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensusEpidemiologyGestational trophoblastic diseaseGestational trophoblastic neoplasiaHydatidiform molePlacental site trophoblastic tumorOBJECTIVE: To evaluate treatment of Brazilian patients with gestational trophoblastic disease (GTD). STUDY DESIGN: A retrospective cohort study with analysis of medical reports performed in 10 Brazilian referral centers from January 2000 to December 2011. RESULTS: Of 5,250 patients 3 died (0.06%) at the time of uterine evacuation. Spontaneous remission of GTD (group G1) was observed in 4,103 cases, and 1,144 (21.8%) progressed to gestational trophoblastic neoplasia (GTN) (G2). In G1 2,716 (66.2%) had complete hydatidiform mole (HM) and 1,210, partial HM (29.5%); 3,772 patients (92.7%) recovered as noted in December 2012. In G2, of 1,118 patients treated, initial histopathological results of previous gestation were complete HM (77.5% [n=886]), partial HM (8.8% [n= 100]), and choriocarcinoma (8.0% [n=92]); 930 (81.3%) were low-risk, 200 (17.5%) were high-risk GTN, and 14 had placental site trophoblastic tumor (PSTT) (1.2%); cure was achieved in 1,078 cases (96.4%), but 26 patients (2.3%) died (4 lowrisk [0.4%], 19 high-risk [9.5%], and 3 PSTT [21.4%]). CONCLUSION: The highest death rates were due to high-risk GTN and PSTT. Patients with molar pregnancy should be referred to a referral center for an early diagnosis and prompt treatment of GTN in order to reduce the morbidity and mortality found in advanced stages.Rio de Janeiro Federal University Laranjeiras Maternity School Fluminense Federal University Antonio Pedro University Hospital Santa Casa da Misericórdia of Rio de JaneiroIrmandade da Santa Casa da Misericórdia de Porto Alegre Mário Totta MaternityGoiás Federal University Clinics HospitalSão Paulo Federal University São Paulo University HospitalParaná University Hospital Clinics HospitalSão Paulo University Clinics Hospital of Ribeirão PretoCaxias do Sul University General Hospital of Caxias do SulSão Paulo State University Botucatu Medical SchoolGuilherme Álvaro HospitalSão Paulo State University Botucatu Medical SchoolSanta Casa da Misericórdia of Rio de JaneiroMário Totta MaternityClinics HospitalUniversidade de São Paulo (USP)General Hospital of Caxias do SulUniversidade Estadual Paulista (UNESP)Guilherme Álvaro HospitalBraga, Antonio [UNESP]Uberti, Elza Maria Hartmann [UNESP]Fajardo, Maria do Carmo [UNESP]Viggiano, Maurício [UNESP]Sun, Sue Yazaki [UNESP]Grillo, Bruno Maurizio [UNESP]Padilha, Sérgio Lunardon [UNESP]de Andrade, Jurandyr Moreira [UNESP]de Souza, Christiani Bisinoto [UNESP]Madi, José Mauro [UNESP]Maestá, Izildinha [UNESP]Silveira, Eduardo [UNESP]2022-04-29T11:29:21Z2022-04-29T11:29:21Z2014-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article241-247Journal of Reproductive Medicine, v. 59, n. 3, p. 241-247, 2014.0024-7758http://hdl.handle.net/11449/2323102-s2.0-84905189205Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Reproductive Medicineinfo:eu-repo/semantics/openAccess2024-08-16T14:06:54Zoai:repositorio.unesp.br:11449/232310Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:06:54Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
title |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
spellingShingle |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus Braga, Antonio [UNESP] Epidemiology Gestational trophoblastic disease Gestational trophoblastic neoplasia Hydatidiform mole Placental site trophoblastic tumor |
title_short |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
title_full |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
title_fullStr |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
title_full_unstemmed |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
title_sort |
Epidemiological report on the treatment of patients with gestational trophoblastic disease in 10 Brazilian referral centers: Results after 12 years since international FIGO 2000 consensus |
author |
Braga, Antonio [UNESP] |
author_facet |
Braga, Antonio [UNESP] Uberti, Elza Maria Hartmann [UNESP] Fajardo, Maria do Carmo [UNESP] Viggiano, Maurício [UNESP] Sun, Sue Yazaki [UNESP] Grillo, Bruno Maurizio [UNESP] Padilha, Sérgio Lunardon [UNESP] de Andrade, Jurandyr Moreira [UNESP] de Souza, Christiani Bisinoto [UNESP] Madi, José Mauro [UNESP] Maestá, Izildinha [UNESP] Silveira, Eduardo [UNESP] |
author_role |
author |
author2 |
Uberti, Elza Maria Hartmann [UNESP] Fajardo, Maria do Carmo [UNESP] Viggiano, Maurício [UNESP] Sun, Sue Yazaki [UNESP] Grillo, Bruno Maurizio [UNESP] Padilha, Sérgio Lunardon [UNESP] de Andrade, Jurandyr Moreira [UNESP] de Souza, Christiani Bisinoto [UNESP] Madi, José Mauro [UNESP] Maestá, Izildinha [UNESP] Silveira, Eduardo [UNESP] |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Santa Casa da Misericórdia of Rio de Janeiro Mário Totta Maternity Clinics Hospital Universidade de São Paulo (USP) General Hospital of Caxias do Sul Universidade Estadual Paulista (UNESP) Guilherme Álvaro Hospital |
dc.contributor.author.fl_str_mv |
Braga, Antonio [UNESP] Uberti, Elza Maria Hartmann [UNESP] Fajardo, Maria do Carmo [UNESP] Viggiano, Maurício [UNESP] Sun, Sue Yazaki [UNESP] Grillo, Bruno Maurizio [UNESP] Padilha, Sérgio Lunardon [UNESP] de Andrade, Jurandyr Moreira [UNESP] de Souza, Christiani Bisinoto [UNESP] Madi, José Mauro [UNESP] Maestá, Izildinha [UNESP] Silveira, Eduardo [UNESP] |
dc.subject.por.fl_str_mv |
Epidemiology Gestational trophoblastic disease Gestational trophoblastic neoplasia Hydatidiform mole Placental site trophoblastic tumor |
topic |
Epidemiology Gestational trophoblastic disease Gestational trophoblastic neoplasia Hydatidiform mole Placental site trophoblastic tumor |
description |
OBJECTIVE: To evaluate treatment of Brazilian patients with gestational trophoblastic disease (GTD). STUDY DESIGN: A retrospective cohort study with analysis of medical reports performed in 10 Brazilian referral centers from January 2000 to December 2011. RESULTS: Of 5,250 patients 3 died (0.06%) at the time of uterine evacuation. Spontaneous remission of GTD (group G1) was observed in 4,103 cases, and 1,144 (21.8%) progressed to gestational trophoblastic neoplasia (GTN) (G2). In G1 2,716 (66.2%) had complete hydatidiform mole (HM) and 1,210, partial HM (29.5%); 3,772 patients (92.7%) recovered as noted in December 2012. In G2, of 1,118 patients treated, initial histopathological results of previous gestation were complete HM (77.5% [n=886]), partial HM (8.8% [n= 100]), and choriocarcinoma (8.0% [n=92]); 930 (81.3%) were low-risk, 200 (17.5%) were high-risk GTN, and 14 had placental site trophoblastic tumor (PSTT) (1.2%); cure was achieved in 1,078 cases (96.4%), but 26 patients (2.3%) died (4 lowrisk [0.4%], 19 high-risk [9.5%], and 3 PSTT [21.4%]). CONCLUSION: The highest death rates were due to high-risk GTN and PSTT. Patients with molar pregnancy should be referred to a referral center for an early diagnosis and prompt treatment of GTN in order to reduce the morbidity and mortality found in advanced stages. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-01 2022-04-29T11:29:21Z 2022-04-29T11:29:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
Journal of Reproductive Medicine, v. 59, n. 3, p. 241-247, 2014. 0024-7758 http://hdl.handle.net/11449/232310 2-s2.0-84905189205 |
identifier_str_mv |
Journal of Reproductive Medicine, v. 59, n. 3, p. 241-247, 2014. 0024-7758 2-s2.0-84905189205 |
url |
http://hdl.handle.net/11449/232310 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Reproductive Medicine |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
241-247 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128136514109440 |