Methotrexate on a 21-day cycle for low-risk gestational trophoblastic neoplasia

Juan Diaz, M. Bijoy Thomas, Charlotte Paz-Pabon, Enrique Hernandez

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

OBJECTIVE: To perform an outcome analysis of patients with low-risk gestational trophoblastic neoplasia (GTN) treated with a 5-day intramuscular methotrexate (MTX) regimen on a 21-day cycle. STUDY DESIGN: A retrospective review of 31 patients with low-risk GTN treated with a 5-day MTX regimen. RESULTS: A total of 31 patients with low-risk GTN (WHO score < 7) received single-agent MTX at a dose of 0.4 mg/kg daily for 5 days every 21 days (mean number of cycles, 3; 83% remission). The only significant toxicity encountered was grade 2 stomatitis in 8 (26%) patients. CONCLUSION: A 5-day MTX regimen given every 21 days is convenient, well-tolerated and effective for patients with low-risk GTN.

Original languageEnglish
Pages (from-to)411-414
Number of pages4
JournalJournal of Reproductive Medicine
Volume57
Issue number9-10
StatePublished - Oct 2012

Keywords

  • Chemotherapy
  • Gestational trophoblastic neoplasia
  • Methotrexate

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