Application of Hysteroscopy and Laparoscopy in Diagnosis and Management of Gestational Trophoblastic Neoplasia
ZHU Ting-ting
LU Xin
Abstract：Gestational trophoblastic neoplasia (GTN) usually occurs in women of reproductive age. GTN is sensitive to chemotherapy with a high cure rate of 90%-100%. The early diagnosis and standardized chemotherapy is important for the prognosis. The diagnosis of GTN mainly rely on clinical history, pelvic examination, measure of serum hCG level and imaging examination. However, it is essential to make differential diagnosis with other pregnancy-associated diseases, such as residual of placenta and ectopic pregnancy. To avoid the misdiagnosis and over-treatment, hysteroscopy and laparoscopy play an important role in the differential diagnosis of GTN. They can visually figure out the location, size and character of lesions, or take pathological evidence for under direct vision. They also can effectively salvage some patients with chemoresistant GTN, by resecting the GTN lesion located in the uterus and reducing the total courses of chemotherapy. Endoscopic technique is an effective alternative of diagnosis and treatment for GTN.
Keywords：Gestational trophoblastic neoplasmsHysteroscopesLaparoscopesDiagnosisTherapy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 31-34 )