الحمل المولي الجزئي: الإدارة التالية بعد فشل الكحت بالشفط في تطبيع hCG

References

DOI: 10.1111/1471-0528.16266

1. Suction curettage is the method of choice for removal of partial molar pregnancies except when the size of fetal parts deters the use of suction curettage and then medical removal can be used.
2. Women with GTN may be treated with single-agent or multi-agent chemotherapy.
3. Women with scores of 6 or less are at low risk and are treated with single-agent intramuscular methotrexate, alternating daily with folinic acid for 1 week followed by 6 rest days.
4. Women with scores of 7 or greater are at high risk and are treated with intravenous multi-agent chemotherapy, which includes combinations of methotrexate, dactinomycin, etoposide, cyclophosphamide and vincristine.
5. Treatment is continued, in all cases, until the hCG level has returned to normal and then for a further 6 consecutive weeks.