Title Trofoblastinė liga: mokslinės literatūros apžvalga /
Translation of Title Trophoblastic disease: review of the literature.
Authors Launikonytė, Gabrielė ; Korsakaitė, Klaudija ; Bužinskienė, Diana
DOI 10.15388/LietChirur.2022.21.60
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Is Part of Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2022, t. 21, Nr. 2, p. 92-104.. ISSN 1392-0995. eISSN 1648-9942
Keywords [eng] gestational trophoblastic disease ; gestational trophoblastic neoplasia ; choriocarcinoma ; human chorionic gonadotropin
Abstract [eng] The purpose of this literature review is to discuss the most effective gestational trophoblastic disease diagnostic and treatment methods. Also, to introduce some of the novel treatment options currently being explored. A comprehensive research was carried out on scientific databases of MEDLINE and PubMed over the time period of 2014 to 2021. According to literature sources initial gestational trophoblastic disease diagnosis is multimodal: encompassing clinical features, quantitative human chorionic gonadotropin titers and pelvic ultrasonography. Pelvic magnetic resonance imaging, body computed tomography, chest radiography and angiography are the methods usually used for overall disease staging and metastases detection. The best treatment method is designated with reference to individual features of the patient and the disease. Conventional treatment consists of hysterectomy and chemotherapy; however, the use of new methods, such as directed enzyme prodrug therapy is also being attempted to cure metastasized and/or resistant gestational trophoblastic neoplasias. Most women with gestational trophoblastic disease can be successfully managed with preservation of reproductive function due to early diagnosis in the first trimester of pregnancy. It is important to identify gestational trophoblastic disease promptly and adjust specific treatment for every patient properly to minimize various complications.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language Lithuanian
Publication date 2022
CC license CC license description