Treatment of gestational trophoblastic neoplasia according to the FIGO 2000 staging and scoring system: a 20 years' experience.
OBJECTIVE
To reassess the efficacy of the Federation of Gynecology and Obstetrics (FIGO) 2000 staging and risk factor scoring system in comparison to the original World Health Organization (WHO) prognostic scoring system (1983) in a single-institute setting.


METHODS
Retrospective review of the medical records of 89 patients with gestational trophoblastic neoplasia.


METHODS
Mackay Memorial Hospital, Taipei, a regional referral center for northern Taiwan, over a 20-year period.


METHODS
All selected patients were classified retrospectively by the original WHO prognostic scoring system (1983) and the FIGO 2000 system.


METHODS
Efficacy as the correlation of risk categorization by percentage of patients between the original WHO scoring system (1983) and the FIGO 2000 system.


RESULTS
The correlation was 97%. Only two patients were classified as middle risk group in the original WHO system (1983), but as high-risk group by the FIGO 2000 system.


CONCLUSIONS
There was good correlation between the original WHO (1983) and FIGO 2000 systems. Treatment outcomes by FIGO 2000 system were somewhat better than by the original WHO classification.
Wang
Kung-Liahng
KL
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, Province of China. KL421229@ms6.hinet.net
Yang
Yuh-Cheng
YC
Wang
Tao-Yeuan
TY
Cheng-Yen Lai
Jerry
J
Chen
Tze-Chien
TC
Chang
Chi-Long
CL
D005260:Female; D031901:Gestational Trophoblastic Disease / Q000145:classification / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D009367:Neoplasm Staging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000145:classification / Q000188:drug therapy* / Q000473:pathology