Types of Gestational Trophoblastic Disease
There are two basic types of gestational trophoblastic disease: molar pregnancy and gestational trophoblastic neoplasia, which is a form of cancer.
The most common form of the disease occurs during pregnancy. It involves slow-growing, non-cancerous tumors in your uterus, which are typically surgically removed. During a molar pregnancy, fetal tissue may not develop or may not develop completely.
Gestational Trophoblastic Neoplasia
Sometimes the tumors that form are cancerous and have the potential to spread to other organs. This form of gestational trophoblastic disease can occur after a miscarriage or delivery of a healthy baby.Treatments vary and may include surgery and/or chemotherapy.
Tests for Gestational Trophoblastic Disease
Gestational trophoblastic disease is rare, and the growth of tumors inside your uterus is best treated by a specialist. We use a combination of tests to determine the severity and form of your gestational trophoblastic disease and to identify the exact location of the tumors.
A routine physical exam allows your gynecologist to feel for unusual changes or masses in your vagina, uterus, or cervix.
Blood tests can reveal elevated levels of human chorionic gonadotropin, a hormone naturally produced by your body that increases when gestational trophoblastic disease is present.
Ultrasounds and CT scans can identify the location of tumors. Our gynecologic oncologists use the images to determine the best form of treatment. Scans may be repeated after treatment to monitor progress.
Family history doesn’t always influence gestational trophoblastic disease, but we may refer you to a certified genetic counselor who specialize in hereditary cancer services to determine if cancer found in other family members may impact you. Genetic testing is done by blood test.