title: Successful treatment of refractory gestational trophoblastic neoplasm with high-dose etoposide and cyclophosphamide.
abstract: A patient with gestational trophoblastic neoplasm failed treatment with several standard chemotherapy regimens and had progressive disease with development of lung and brain metastases and a rising HCG level. Following resection of the metastases and whole-brain radiotherapy she was treated with high-dose etoposide and cyclophosphamide. She promptly attained a complete remission and remains free of disease 15 months after completion of therapy. This regimen, although initially developed for leukemia and lymphoma treatment, has potential as a therapy for refractory gestational trophoblastic neoplasm because it delivers high doses of agents very active in this disease.
authors.affiliation: Department of Gynecologic Oncology, Baylor University Medical Center, Dallas, Texas 75246.
authors.forename: R H
authors.initials: RH
authors.lastname: Collins
authors.forename: C S
authors.initials: CS
authors.lastname: White
authors.forename: C A
authors.initials: CA
authors.lastname: Stringer
authors.forename: J W
authors.initials: JW
authors.lastname: Fay
mesh_terms: D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003520:Cyclophosphamide / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D011247:Pregnancy; D014328:Trophoblastic Neoplasms / Q000188:drug therapy*; D014594:Uterine Neoplasms / Q000188:drug therapy*
chemical_list: D005047:Etoposide; D003520:Cyclophosphamide