PT  - JOURNAL ARTICLE
AU  - James M. Price
AU  - Christine Lo
AU  - Shahram Abdi
AU  - Matthew C. Winter
AU  - Rob E. Coleman
AU  - John Tidy
AU  - Barry W. Hancock
TI  - The Role of Computed Tomography Scanning of the Thorax in the Initial Assessment of Gestational Trophoblastic Neoplasia
AID  - 10.1097/IGC.0000000000000534
DP  - 2015 Nov 01
TA  - International Journal of Gynecologic Cancer
PG  - 1731--1736
VI  - 25
IP  - 9
4099  - http://ijgc.bmj.com/content/25/9/1731.short
4100  - http://ijgc.bmj.com/content/25/9/1731.full
SO  - Int J Gynecol Cancer2015 Nov 01; 25
AB  - Objective The aim of this study was to determine whether lesions found on computed tomography (CT) imaging of the thorax would affect FIGO (International Federation of Gynecology and Obstetrics) 2000 risk score and/or alter clinical management.Methods The Sheffield Trophoblastic Disease database was searched for all new patients registered for staging/scoring investigations between January 1, 2006, and June 30, 2010. The FIGO 2000 score was noted and then recalculated using information from CT scan reports. Where a change of risk score would have affected a patient’s management, the case notes were further reviewed.Results 191 patients had undergone both modalities of imaging. Using standard FIGO scoring, 169 and 22 patients were noted to be at low and high risk, respectively. Using information from CT imaging, only a further 20 patients would have been reclassified as high risk. Fifteen of these “new” high-risk patients required salvage treatment with intravenous chemotherapy; all were cured.Conclusions With no potential advantage in terms of patient outcome and significantly increased radiation dose, there is little justification for routine CT imaging of the thorax in the initial assessment of new patients with gestational trophoblastic neoplasia.