trophoblastic

[Guest guest]

Hi Group

I have been treating a 42 yr old female with

gestational trophoblastic disease using Gemmotherapy and Chinese Medicine,

her count has risen from 12 to 55 in 1 wk. She does not would to be treated

with chemotherapy and we waiting for her result from a body scan looking for

any metastases.

Any suggestion?

Ross Ralph Dr. TCM 4thyr Osteopathy

[Guest guest]

Hi Dr. Ralph,

I was researching more about Gestational trophoblastic

tumors (GTTs), and found some stats that may be

helpful in educating your patient. It seems to me

that an important aspect of your care for this patient

is to help her make an informed decision on treatment.

These statistics are powerful, and in my opinion,

need to be accounted for:

" More than 40 years ago, women with choriocarcinoma

had a 95% mortality rate. Today, with the advent of

effective chemotherapy and the development of a

reliable tumor marker (beta-hCG), a cure rate of 90%

to 95% is observed for choriocarcinoma.

" A history of a previous hydatidiform mole is an

established risk factor for GTT. Women with a previous

molar pregnancy have up to a 10 times greater risk of

developing a second molar pregnancy [20]. Furthermore,

women who have had a prior molar pregnancy have at

least a 1,000-fold increased risk of choriocarcinoma,

compared with women who have had a normal pregnancy.

" The New England Trophoblastic Disease Center

demonstrated the increased risk of subsequent molar

pregnancy to be 1%. Thus, a normal future reproductive

outcome generally can be anticipated after such a

pregnancy [23]. Nevertheless, these women should be

closely monitored with a first-trimester ultrasound,

pathology review of the placenta, and beta-hCG

measurements 6 weeks postpartum. "

Source:

http://www.cancernetwork.com/textbook/morev23.htm

Thankyou for bringing such an interesting case to the

group for discussion.

Sincerely,

Andy Swanson, ND, LAc

Nature Cures Clinic

Portland, OR

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