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Abstract
Gestational trophoblastic disease is characterized by abnormal proliferation
of pregnancy-associated trophoblastic tissue with malignant potential.
Gestational trophoblastic disease covers a spectrum of conditions including
hydatidiform mole, invasive mole, choriocarcinoma and placental site
trophoblastic tumour. It is very important to understand the pathophysiology
and natural history of the disease in order to achieve faster recognition and
effective treatment. The presence and course of the disease can be monitored
with quantitative levels of human chorionic gonadotrophin in all cases.
Clinical signs and symptoms are usually insufficient to diagnose and predict
the extent of disease. Nowadays, gestational trophoblastic diseases are the
best treated gynaecological malignancy thanks to modern technology. This
review covers various aspects of gestational trophoblastic disease: its
development, epidemiology, aetiology and pathogenesis, as well as its
classification, clinical manifestations and diagnostic methods.
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