Abstract | OBJECTIVE: To analyze the clinical characters and prognosis of postpartum choriocarcinoma. METHODS: Retrospective analysis of 103 patients diagnosed with postpartum choriocarcinoma in Peking Union Medical College Hospital between 1985 and 2005 was performed. RESULTS: In a total of 103 cases of postpartum choriocarcinoma treated with multiagent cytotoxic chemotherapy and combined modality therapy, 92 patients (89.3%) achieved a complete remission while 2 patients had a partial remission, and 9 patients died. Regarding 25 cases with chemorefractory choriocarcinoma and 4 relapsed cases, 18 and 3 cases achieved a complete remission respectively. According to the new International Federation of Gynecology and Obstetrics (FIGO) 2000 staging and risk factor scoring system, 17 cases were at FIGO stage I, 8 cases at stage II, 56 cases at stage III, and 22 cases at stage IV. Complete remission was achieved in 100%, 8/8, 95% and 64% respectively. Thirty-five cases in low risk group had FIGO scores < or = 6, and all achieved a complete remission. Of 68 cases in high risk group with FIGO scores > or = 7, 57 (84%) of them obtained a complete remission. There were significant differences in the two groups (P < 0.05). CONCLUSION:
|
Authors | Cheng-Zhi Lei, Yang Xiang, Xi-Run Wan, Jun-Jun Yang, Quan-Cai Cui, Feng-Zhi Feng, Xiu-Yu Yang |
Journal | Zhonghua fu chan ke za zhi
(Zhonghua Fu Chan Ke Za Zhi)
Vol. 41
Issue 11
Pg. 752-5
(Nov 2006)
ISSN: 0529-567X [Print] China |
PMID | 17327033
(Publication Type: English Abstract, Journal Article)
|
Chemical References |
- Chorionic Gonadotropin, beta Subunit, Human
- Dactinomycin
- Fluorouracil
|
Topics |
- Adult
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Choriocarcinoma
(drug therapy, surgery)
- Chorionic Gonadotropin, beta Subunit, Human
(blood)
- Combined Modality Therapy
- Dactinomycin
(administration & dosage)
- Drug Resistance, Neoplasm
- Female
- Fluorouracil
(administration & dosage)
- Humans
- Hysterectomy
- Middle Aged
- Postpartum Period
- Prognosis
- Retrospective Studies
- Treatment Outcome
- Uterine Neoplasms
(drug therapy, surgery)
|