GTT Score

Question 1

Site of metastases Lung, GTT, FIGO scoring

Answer 1

0

Question 2

Site of metastase GTT, Spleen, kidney, FIGO scoring

Answer 2

1

Question 3

Site of metastase GTT, Gastro-intestinal, FIGO scoring

Answer 3

2

Question 4

Site of metastase GTT, Liver, brain, FIGO scoring

Answer 4

4

Question 5

GTT, FIGO scoring, zero factors

Answer 5

• Age (years): < 40
• Antecedent pregnancy: Mole
• Interval months from end of index preg to RX: < 4
• Pretreatment serum hCG (iu/l): < 1000
• Largest tumour size, including uterus (cm): < 3
• Site of metastases: Lung

Question 6

GTT, FIGO scoring, 1 factors

Answer 6

• Age (years): ≥ 40
• Antecedent pregnancy: Abortion
• Interval months from end of index preg to RX: 4 – < 7
• Pretreatment serum hCG (iu/l): 103 – < 104
• Largest tumour size, including uterus (cm): 3 – < 5
• Site of metastases: Spleen, kidney
• Number of metastases: 1–4

Question 7

GTT, FIGO scoring, factors 0/1/2

Answer 7

Antecedent pregnancy: Mole/ Abortion /Term

Largest tumour size, including uterus (cm):

• < 3 upto 2.9cm
• 3 – < 5
• ≥ 5

Question 8

GTT, FIGO scoring, factors 0/1/2//4

Answer 8

Interval months from end of index preg to RX

• < 4
• 4 – < 7
• 7 – < 13
• ≥ 13

Pretreatment serum hCG (iu/l)

• < 1000 or upto 999
• 103 – 9999
• 104 – 99999
• ≥ 105

Site of metastases

• Lung
• Spleen, kidney
• Gastro-intestinal
• Liver, brain

Question 9

GTT, FIGO scoring, factors 1/2//4

Answer 9

Number of metastases

• 1–4
• 5–8
• > 8

Question 10

GTT, FIGO scoring, factors 0/1

Answer 10

Age (years)

• < 40
• ≥ 40

Question 11

GTT, FIGO scoring, factors 2/4

Answer 11

Previous failed chemotherapy

• Single drug
• 2 or more drugs

Question 12

GTT, FIGO scoring, 3 factors

Answer 12

• Antecedent pregnancy: Term
• Interval months from end of index preg to RX: 7 – < 13
• Pretreatment serum hCG (iu/l): 104 – < 105
• Largest tumour size, including uterus (cm): ≥ 5
• Site of metastases: Gastro-intestinal
• Number of metastases: 5–8
• Previous failed chemotherapy: Single drug

Question 13

GTT, FIGO scoring, 4 factors

Answer 13

• Interval months from end of index preg to RX: ≥ 13
• Pretreatment serum hCG (iu/l): ≥ 105
• Site of metastases: Liver, brain
• Number of metastases: > 8
• Previous failed chemotherapy: 2 or more drugs

Question 14

GTT, FIGO scoring

4 mets in liver /brain

Answer 14

5

Question 15

GTT, FIGO scoring

9 mets in lung

Answer 15

4

Question 16

GTT, FIGO scoring

6 mets in GIT

Answer 16

4

Question 17

GTT, FIGO scoring

8 mets in spleen & kidney

Answer 17

3

Question 18

GTT, FIGO scoring

5 mets in liver & brain

Answer 18

6

Question 19

GTT, FIGO scoring

7 mets in lung

Answer 19

2

Question 20

GTT, FIGO scoring
Pretreatment serum hCG (iu/l): 99999
Largest tumour size, including uterus (cm): 4cm

Answer 20

3

Question 21

GTT, FIGO scoring
Pretreatment serum hCG (iu/l): 999
Largest tumour size, including uterus (cm): 2.9 cm

Answer 21

0

Question 22

GTT, FIGO scoring
Pretreatment serum hCG (iu/l): 9999
Largest tumour size, including uterus (cm): 4.9 cm

Answer 22

2

Question 23

GTT, FIGO scoring
Pretreatment serum hCG (iu/l): 9999
Largest tumour size, including uterus (cm): 4cm

Answer 23

2

Question 24

GTT, FIGO scoring

Hx of mole 8 months back

Answer 24

2

Question 25

GTT, FIGO scoring

Hx of abortion 13 months back

Answer 25

5

Question 26

GTT, FIGO scoring

Hx of abortion 13 months back

Answer 26

5

Question 27

GTT, FIGO scoring

baby’s fist birthday 1 month back

Answer 27

6

Question 28

GTT, FIGO scoring

baby’s fist birthday 28 days back

Answer 28

4

Question 29

GTT, FIGO scoring treatment

Answer 29

• ≤ 6 :single-agentIM MTX alternating daily folinic acid for 1 week followed by 6 rest days.
• ≥ 7 : IV multi-agent chemotherapy,(MTX, dactinomycin,
  etoposide, cyclophosphamide and vincristine.
• Treatment is continued, in all cases, until the hCG level has returned to normal and then for a further 6 consecutive weeks