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Practical Guidelines for the Treatment of Gestational Trophoblastic Disease: Collaboration of the European Organisation for the Treatment of Trophoblastic Disease (EOTTD)-European Society of Gynaecologic Oncology (ESGO)-Gynecologic Cancer InterGroup (GCIG)-International Society for the Study of Trophoblastic Diseases (ISSTD)

  • Christianne Lok*
  • , Nienke van Trommel
  • , Elena Ioana Braicu
  • , Francois Planchamp
  • , Ross Berkowitz
  • , Michael Seckl
  • , Inge O. Baas
  • , Alice Bergamini
  • , Miguel Henriques Abreu
  • , Pierre-Adrien Bolze
  • , Genevieve Bouchard-Fortier
  • , Antonio Braga
  • , Maria Stephanie Fay S. Cagayan
  • , Antonio Casado
  • , Min Chul Choi
  • , John Coulter
  • , Kevin Elias
  • , Hind H. Elmalik
  • , Andrea Garrett
  • , Ehsan Ghorani
  • Andrea Gmur, Frederic Goffin, Francois Golfier, Neil Horowitz, Ulrika Joneborg, Baljeet Kaur, Philip Tonui Kipkirui, Jacob Korach, Xin Lu, Izildinha Maesta, Giorgia Mangili, Gloria Marquina, Jerome Massardier, Hextan Y. S. Ngan, Ray Osborne, Nelleke P. B. Ottevanger, Sinan Ozalp, Naveed Sarwar, Paradan K. Sekharan, Franziska Siegenthaler, Olesya Solheim, Lone Sunde, Fred C. G. J. Sweep, Grzegorz Szewczyk, Manuela Undurraga, Emelie Wallin, Matthew C. Winter, Eiko Yamamoto, Benoit You, Emelie Wallin, Anneke Westermann, Yang Xiang, EOTTD-ESGO-GCIG-ISSTD Guideline Committee
*Corresponding author for this work
  • Centre of Gynaecologic Oncology Amsterdam
  • Charité – Universitätsmedizin Berlin
  • Centre Georges-François Leclerc
  • Harvard University
  • Charing Cross Hospital
  • Utrecht University
  • Vita-Salute San Raffaele University
  • Instituto Português de Oncologia do Porto Francisco Gentil E.P.E.
  • Hospices civils de Lyon
  • University of Toronto
  • Princess Margaret Hospital Cancer Centre
  • University of Rio de Janeiro
  • University of the Philippines
  • Complutense University
  • CHA University
  • University College Cork
  • Cleveland Clinic Foundation
  • Hamad Medical Corporation
  • Royal Brisbane and Women's Hospital
  • Imperial College London
  • University of Bern
  • University of Liege
  • Karolinska Institutet
  • Moi University
  • Tel Aviv University
  • Fudan University
  • Universidade Estadual Paulista Júlio de Mesquita Filho
  • IRCCS Ospedale San Raffaele
  • The University of Hong Kong
  • Radboud University Nijmegen
  • Osmangazi University
  • Calicut Medical College
  • University of Oslo
  • Aalborg University
  • Mazovian Regional Hospital
  • Medical University of Warsaw
  • University of Geneva
  • University of Sheffield
  • Nagoya University
  • Amsterdam UMC - University of Amsterdam
  • Chinese Academy of Medical Sciences
  • University Hospital La Paz

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Gestational trophoblastic diseases (GTDs) are a group of pregnancy-related premalignant and malignant diseases with generally a favorable prognosis when treated adequately. Many different treatment protocols exist worldwide. To our knowledge, this is the first set of global consensus-based guidelines for GTD. Four international organizations (European Organisation for the Treatment of Trophoblastic Diseases, European Society of Gynecologic Oncology, Gynecologic Cancer Intergroup, and International Society for the Study of Trophoblastic Diseases) delegated 53 expert GTD clinicians from 31 countries who formulated nine consensus-based definitions and the minimum criteria required to be a GTD center. Furthermore, 18 flow diagrams were developed to diagnose, treat, and follow up all forms of primary or recurrent GTD. The definitions and flow diagrams were drafted and adapted in consecutive (online) meetings until consensus was reached followed by an external review process. Here, the final guidelines are presented together with the available supporting evidence from the literature.
Original languageEnglish
Article numberJCO-24-02326
Pages (from-to)2119-2128
Number of pages10
JournalJournal of clinical oncology
Volume43
Issue number18
Early online date2025
DOIs
Publication statusPublished - 20 Jun 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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