Obstetrics & Gynaecology
Gestational Trophoblastic Disease
Gestational Trophoblastic Disease clinical pathway.
Source: RCOG; Charing Cross GTN — GTG 38
Step 1 of ~2
info
Types & Diagnosis
• 46XX paternal
• No fetal tissue
• High hCG
• 15-20% persistent
• 69XXY triploid
• Fetal tissue present
• Lower hCG
• 1-4% persistent
• Persistent Gtd: Rising or plateau hCG after evacuation
• Choriocarcinoma: Malignant, metastasises
• Pstt Et: Placental site trophoblastic tumour/epithelioid trophoblastic tumour - rare, chemotherapy resistant
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Methylene Blue · Guanylate Cyclase / Nitric Oxide Pathway Inhibitor
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Acetazolamide (Ménière's Disease) · Carbonic Anhydrase Inhibitor (Diuretic)
- Sodium phenylbutyrate · Ammonia scavenger (alternative pathway)
- Zinc acetate · Zinc salt (Wilson's disease)
- Sulfasalazine · Aminosalicylate / Disease-Modifying Antirheumatic Drug (DMARD)
Decision support only. Always apply local guidelines and clinical judgement.