title: Evolution of a Teenage and Young Adult Service, in Sheffield, U.K., for Patients with Gestational Trophoblastic Neoplasia.
abstract: OBJECTIVE
  To describe the evolution of a teenage and young adult (TYA) service for patients with gestational trophoblastic neoplasia (GTN).
  
  
  BACKGROUND
  Since its opening in 2002 the TYA unit has demonstrated its effectiveness and ability to care for GTN patients, offering additional emotional assessment and meeting the specific needs that many young GTN patients have. Patients using the TYA unit were identified from the Centre's databases, and individual records were scrutinized for demographics, clinical presentation, barriers to care, compliance, and specific needs.
  
  
  RESULTS
  Of the 121 GTN patients who have utilized the facilities, there were 94 complete moles, 11 choriocarcinomas, 3 placental site trophoblastic tumors, 1 twin molar pregnancy, and 4 with persistent unexplained hCG elevation. Presenting with a complicated social background was identified as a barrier to care in 8 patients. In addition to patients, 40 relatives and 12 infants have also utilized the facilities. A total of 33% of patients and carers had social work input and/or refer-ral to psychology services.
  
  
  CONCLUSIONS
  The bespoke service and care offered to TYA patients is appropriate and should be considered the gold standard for young patients, enabling them to cope with their unique challenges during diagnosis and treatment.
authors.forename: Sarah
authors.initials: S
authors.lastname: Gillett
authors.forename: Kam
authors.initials: K
authors.lastname: Singh
authors.forename: Jane
authors.initials: J
authors.lastname: Ireson
authors.forename: Annie
authors.initials: A
authors.lastname: Hills
authors.forename: Matthew
authors.initials: M
authors.lastname: Winter
authors.forename: John
authors.initials: J
authors.lastname: Tidy
authors.forename: Ruth
authors.initials: R
authors.lastname: Logan
authors.forename: Barry
authors.initials: B
authors.lastname: Hancock
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002822:Choriocarcinoma / Q000523:psychology / Q000628:therapy; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D031901:Gestational Trophoblastic Disease / Q000523:psychology / Q000628:therapy*; D006801:Humans; D006828:Hydatidiform Mole / Q000523:psychology / Q000628:therapy; D011247:Pregnancy; D059285:Pregnancy, Twin; D013222:State Medicine / Q000458:organization & administration; D018245:Trophoblastic Tumor, Placental Site / Q000523:psychology / Q000628:therapy; D006113:United Kingdom; D014594:Uterine Neoplasms / Q000523:psychology / Q000628:therapy*; D055815:Young Adult