Ja. Tidy et al., Gestational trophoblastic disease: A study of mode of evacuation and subsequent need for treatment with chemotherapy, GYNECOL ONC, 78(3), 2000, pp. 309-312
Objectives. The aim of this study was to assess whether there was a change
in the mode of evacuation of GTD over two time periods and to assess whethe
r mode of evacuation influenced the subsequent need for chemotherapy.
Methods. A retrospective case note study of 4257 cases between 1986 and 199
6, at a screening and treatment center managing GTD, was performed.
Results. Between the time periods 1986-1989 and 1990-1996 there was signifi
cant change in the mode of evacuation to suction curettage. The mode of eva
cuation was significant in determining the need for chemotherapy. The highe
st rate of chemotherapy was associated with medical methods of evacuation.
Conclusions. Suction curettage is a safe method of uterine evacuation in GT
D and its usage has increased with time. Medical methods of uterine evacuat
ion are associated with higher rates of chemotherapy. This is probably due
to a higher rate of incomplete evacuation. Medical methods of evacuation sh
ould not be used in cases of complete hydatiform mole, (C) 2000 Academic Pr
ess.