[Pregnancy of patients conceived within one year after chemotherapy for gestational trophoblastic tumor]

Zhonghua Fu Chan Ke Za Zhi. 1999 Oct;34(10):618-20.
[Article in Chinese]

Abstract

Objective: To explore the risk of pregnancy in patients conceived within one year after successful chemotherapy for gestational trophoblastic tumor.

Methods: 22 patients conceived within one year after chemotherapy were followed up and analysed about abnormal pregnant result, wastage rate and the time of interval between chemotherapy and pregnancy.

Results: Among 22 cases, 9 cases were full term birth, 6 cases were wastage. The wastage rate was 27.3%. The wastage rate of these patients conceived within half a year was higher than one year (P < 0.05). 1 repeated hydatidiform mole and one post term choriocarcinoma occurred in 22 patients. They both were conceived within 5 months after chemotherapy.

Conclusions: Preservation of fertility is feasible in patients suffering from choriocarcimona and invasive mole. But these patients should practise contraception at least half a year after chemotherapy, and it's better to advise patients to take contraception for one year.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use*
  • Choriocarcinoma / drug therapy*
  • Dactinomycin / administration & dosage
  • Female
  • Fluorouracil / administration & dosage
  • Humans
  • Hydatidiform Mole, Invasive / drug therapy*
  • Pregnancy / drug effects*
  • Pregnancy Outcome
  • Uterine Neoplasms / drug therapy*

Substances

  • Antineoplastic Agents
  • Dactinomycin
  • Fluorouracil