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?)
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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

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3
Q

Treatment for WHO score > or equal to 7?

A

EMACO

Etoposide, MTX, Actinomycin, Cyclophosphamide, Oncovorin (Vincristine)

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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

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5
Q

What kind of cysts are often seen with complete mole?

A

Theca lutein cysts

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6
Q

Risk factors for GTN?

A

1- Asian/Native American
2- AMA
3- Very Young
4- Prior GTN/GTD

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