Table 1.
WHO prognostic scoring system for GTN with highlighted scoring according to our patient, total score ≤ 6 low-risk, ≥7 high-risk.
|
Modified WHO prognostic scoring system | ||||
|---|---|---|---|---|
| Scores | 0 | 1 | 2 | 4 |
| Age | <40 | >40 | – | – |
| Antecedent pregnancy | mole | abortion | term | – |
| Interval months from index pregnancy | <4 | 4–6 | 7–12 | >12 |
| Pretreatment serum β -HCG | <103 | 103–104 | 104–105 | >105 |
| Largest tumor size (including uterus) | <3 | 3–4 cm | ≥5 cm | – |
| Site of metastases | lung | spleen, kidney | gastro-intestinal | liver, brain |
| Number of metastases | – | 1–4 | 5–8 | >8 |
| Previous failed chemotherapy | – | – | Single drug | ≥2 drugs |