Does hysteroscopy in women with persistent gestational trophoblastic disease reduce the need for chemotherapy? A prospective, single-arm, clinical trial pilot study

Background This study aimed to describe the efficacy of hysteroscopy in the management of women with the persistent gestational trophoblastic disease (PGTD)/GTN to reduce the need for chemotherapy. Materials and methods This prospective, single-arm, clinical trial study was recruited in an education...

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Bibliographic Details
Published in:Gynecological surgery 2021-12, Vol.18 (1), Article 12
Main Authors: Tanha, Fatemeh Davari, Sede, Saghar Samimi, Yarandi, Fariba, Shirali, Elham, Fakehi, Maliheh, Shaker, Zeinab, Ghajarzadeh, Mahsa, Ghaemi, Marjan
Format: Article
Language:English
Subjects:
Chemotherapy
Clinical trials
Endoscopy
Genetic disorders
Gynecology
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Obstetrics/Perinatology/Midwifery
Original Article
Pregnancy
Reproductive Medicine
Surgical Oncology
Tumors
Womens health
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Summary:Background This study aimed to describe the efficacy of hysteroscopy in the management of women with the persistent gestational trophoblastic disease (PGTD)/GTN to reduce the need for chemotherapy. Materials and methods This prospective, single-arm, clinical trial study was recruited in an educational referral hospital between September 2018 and September 2019. Totally, 30 participants with a history of hydatidiform mole that was managed by uterine evacuation and developed low risk persistent gestational trophoblastic disease were recruited. Hysteroscopy was performed for removal of persisted trophoblastic tissue. Serum beta-hCG titer was measured before and 7 days after the procedure. Results The mean ± SD age of the participants was 31.4 ± 4.6 years. There was a significant difference (p = 0.06) between that mean ± SD of beta-hCG titer before (8168.4 ± 1758) and after (2648.8 ± 5888) hysteroscopy. Only two (6.6%) cases underwent chemotherapy due to no drop in the beta-hCG titer. Conclusion Hysteroscopy may play a significant role in the management of GTN, although it requires validation in larger prospective randomized studies and longer follow-up.
ISSN:1613-2076
1613-2084
DOI:10.1186/s10397-021-01094-7