Prospective and Retrospective Analysis of Gestational Trophoblastic Disease over a Period of 5 Years
ABSTRACT Objective To study incidence and outcome of gestational trophoblastic disease and its variants and changes in gestational trophoblastic neoplasia (GTN) outcome since the use of FIGO 2002 scoring system. Materials and method A prospective and retrospective cohort study was conducted on all cases of GTD. Those admitted from Jan 2005 to Dec 2007 were retrospectively analyzed from hospital records. Cases admitted from Jan 2008 to Dec 2009 were followed prospectively. Data was analyzed in terms of methods of diagnosis, FIGO score, treatment methods, success and follow- up feasibility. Statistical analysis was done on SPSS 11 of Windows 2003. Results Forty-four patients of GTD were analyzed, 21 retrospectively and 23 prospectively. The incidence of GTD was 1.1 per 1,000 admissions and 1.5 per 1,000 deliveries. GTN constituted 1.44% of all the gynecological cancer cases admitted in 5 years. Invasive mole constituted 68% of GTN. Seventyone percent of the GTN belonged to stage 1 and 60% had low risk score. Prospective cases managed according to new FIGO (2002) scoring system showed a faster decline in βhCG, lower drug toxicity and higher complete cure rates. Conclusion Management of GTN according to new scoring system results in high cure rates. Centralized registry can achieve 100% follow-up and higher survival rates. How to cite this article Singh N, Singh U, Srivastava S. Prospective and Retrospective Analysis of Gestational Trophoblastic Disease over a Period of 5 Years. J South Asian Feder Obst Gynae 2013;5(1):11-14.