GTN Management Algorithm

Patient Profile

Age (years)
<40 years old
 (0)
≥40 years old
 (1)
Pretreatment hCG (IU/L)
<103
 (0)
103-104
 (1)
104-105
 (2)
>105
 (4)
Antecedent Pregnancy
Mole
 (0)
Abortion
 (1)
Term
 (2)
Interval From Index Pregnancy (months)
<4 mos
 (0)
4-6 mos
 (1)
7-12 mos
 (2)
>12 mos
 (4)
Largest Tumor Size, including uterus (cm)
<3 cm
 (0)
3-5 cm
 (1)
>5 cm
 (2)
Site of Metastases
Lung
 (0)
Spleen
 (1)
Kidney
 (1)
GI tract
 (2)
Liver
 (4)
Brain
 (4)
Ovary/Tube/Vagina/Broad ligament
Other Distant Metastasis
Number of Metastases Identified
0
 (0)
1-4
 (1)
5-8
 (2)
≥8
 (4)
Previous Failed Chemotherapy
No
 (0)
Single Drug
 (2)
Multiagents
 (4)

Prognostic Score

___ / 25 

Risk Group

___ risk 

FIGO Stage

____ 

Overall Treatment Strategy

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