GTN Flashcards
1
Q
ASH FINAL Mnemonic (WHO prognostic system)
A
Age at diagnosis (>39?)
Site of Metastases (Esp Brain or liver)
HCG >100K? (Pretreatment)
Failed chemo? Interval from diagnosis Number of mets (>8?) Antecedent pregnancy (prior term delivery?) Large Tumor (>5cm?)
2
Q
FIGO classes:
A
I- elevated HCG and tumor confined to uterus
II- Tumor extends to adnexae or vagina only
III- Pulmonary mets
IV- Mets elsewhere
3
Q
Treatment for WHO score > or equal to 7?
A
EMACO
Etoposide, MTX, Actinomycin, Cyclophosphamide, Oncovorin (Vincristine)
4
Q
Diagnostic evaluation should include?
A
1) H&P
2) Labs: TFT, LFT, Type and screen. HCG, renal FTs
3) Pelvic US and CXR
5
Q
What kind of cysts are often seen with complete mole?
A
Theca lutein cysts
6
Q
Risk factors for GTN?
A
1- Asian/Native American
2- AMA
3- Very Young
4- Prior GTN/GTD