Ngan H Y S
Department of Obstetrics and Gynaecology, University of Hong Kong, Queen Mary Hospital, 6th floor Professorial Block, Pokfulam Road, Hong Kong, SAR, R.O. China.
Int J Gynecol Cancer. 2004 Mar-Apr;14(2):202-5. doi: 10.1111/j.1048-891X.2004.014236.x.
The FIGO 2000 gestational trophoblastic neoplasia (GTN) staging and classification has recommended three major changes in the management of GTN. The criteria for diagnosis of GTN following molar pregnancy were defined. The methods used for investigation of spread of the disease were recommended. A major change in the concept of FIGO staging in adding risk scoring to anatomical staging is novel but considered essential to best reflect the behavior of this disease which is different from other solid tumors. The history of evolution of this staging and classification system and practical points in applying this system were discussed. If this system would be used worldwide, it would be a big leap in the management of GTN where results can be compared among different centers and large multicenter trials would be possible.
国际妇产科联盟（FIGO）2000年妊娠滋养细胞肿瘤（GTN）分期和分类法在GTN的管理方面推荐了三项主要改变。定义了葡萄胎妊娠后GTN的诊断标准。推荐了用于调查疾病扩散的方法。FIGO分期概念中的一项重大改变是在解剖学分期中增加风险评分，这是新颖的，但被认为对于最佳反映这种与其他实体瘤不同的疾病的行为至关重要。讨论了该分期和分类系统的演变历史以及应用该系统的实际要点。如果该系统能在全球范围内使用，这将是GTN管理方面的一大飞跃，届时不同中心之间的结果可以进行比较，大型多中心试验也将成为可能。
