Table 3

Overall treatment outcomes of the 51 patients with post-molar gestational trophoblastic neoplasia treated with chemotherapy

TreatmentNResults, n (%)
Complete remissionDrug resistance
First-line chemotherapy5132 (62.7)19 (37.3)
Act-D*25169†
MTX-FA21129
5-FU321
FAV220
Second-line chemotherapy1916 (84.2)3 (15.8)
Act-D‡871
FAV532
Etoposide +Act-D220
EMA/CO440
Third-line chemotherapy321
EMA/CO321
Fourth-line chemotherapy11
FAEV11
  • *Five-day intravenous Act-D in 15 patients and biweekly pulsed intravenous Act-D in 10 patients.

  • †Five-day intravenous Act-D in 4 patients and biweekly pulsed intravenous Act-D in 5 patients.

  • ‡All received biweekly pulsed intravenous Act-D.

  • Act-D, actinomycin D; MTX-FA: methotrexate with folinic acid; 5-FU, 5-fluorouracil; FAV, 5-FU+Act-D+vincristine; EMA/CO, etoposide +MTX+Act-D alternating with cyclophosphamide and vincristine; FAEV, 5-FU+Act-D+etoposide+vincristine.