Treatment of malignant trophoblastic tumors. An analysis of 209 cases

Chin Med J (Engl). 1991 Feb;104(2):156-60.

Abstract

From 1948 to 1985, a total of 630 cases of choriocarcinoma and invasive mole were treated in our hospital. The methods of treatment varied in different periods of time. In the third period (1972-1985), 5 Fu and/or KSM were the main therapeutic agents used in the treatment of 110 cases of choriocarcinoma and 99 cases of invasive mole. Metastases were observed in more than 90% of cases of choriocarcinoma and nearly 1/4 belonged to stage IV. The mortality of choriocarcinoma decreased from 84.3% to 32.7% after treatment and that of invasive mole from 32.4% to 8.1%. 43 of 80 patients treated with chemotherapy alone conceived after recovery, resulting in a total of 50 pregnancies including 31 term deliveries by 28 women. All the children are normal and healthy, the eldest being 11 years old now.

MeSH terms

  • Adult
  • Antibiotics, Antineoplastic / administration & dosage
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Choriocarcinoma / secondary
  • Choriocarcinoma / therapy*
  • Combined Modality Therapy
  • Dactinomycin*
  • Female
  • Fluorouracil / administration & dosage
  • Humans
  • Hydatidiform Mole, Invasive / secondary
  • Hydatidiform Mole, Invasive / therapy*
  • Lung Neoplasms / secondary
  • Lung Neoplasms / therapy
  • Middle Aged
  • Pregnancy
  • Uterine Neoplasms / therapy*

Substances

  • Antibiotics, Antineoplastic
  • Antineoplastic Agents
  • Kengshenmycin
  • Dactinomycin
  • Fluorouracil