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Int J Gynecol Cancer ; 25(9): 1731-6, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26270122

RESUMO

OBJECTIVE: The aim of this study was to determine whether lesions found on computed tomography (CT) imaging of the thorax would affect FIGO (International Federation of Gynecology and Obstetrics) 2000 risk score and/or alter clinical management. METHODS: The Sheffield Trophoblastic Disease database was searched for all new patients registered for staging/scoring investigations between January 1, 2006, and June 30, 2010. The FIGO 2000 score was noted and then recalculated using information from CT scan reports. Where a change of risk score would have affected a patient's management, the case notes were further reviewed. RESULTS: 191 patients had undergone both modalities of imaging. Using standard FIGO scoring, 169 and 22 patients were noted to be at low and high risk, respectively. Using information from CT imaging, only a further 20 patients would have been reclassified as high risk. Fifteen of these "new" high-risk patients required salvage treatment with intravenous chemotherapy; all were cured. CONCLUSIONS: With no potential advantage in terms of patient outcome and significantly increased radiation dose, there is little justification for routine CT imaging of the thorax in the initial assessment of new patients with gestational trophoblastic neoplasia.


Assuntos
Doença Trofoblástica Gestacional/diagnóstico por imagem , Doença Trofoblástica Gestacional/patologia , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/secundário , Radiografia Torácica , Tomografia Computadorizada por Raios X , Administração Intravenosa , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Gonadotropina Coriônica/sangue , Dactinomicina/administração & dosagem , Etoposídeo/administração & dosagem , Feminino , Doença Trofoblástica Gestacional/tratamento farmacológico , Humanos , Neoplasias Pulmonares/tratamento farmacológico , Metotrexato/administração & dosagem , Estadiamento de Neoplasias , Gravidez , Medição de Risco , Terapia de Salvação
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