Next-Generation Sequencing Panel Analysis of Clinically Relevant Mutations in Circulating Cell-Free DNA from Patients with Gestational Trophoblastic Neoplasia: A Pilot Study
Table 1
Clinical characteristics of the 11 GTN patients.
Patients
Age
Antecedent pregnancy
Interval from index pregnancy (months)
Distant metastasis (number)
Maximum lesion diameter (cm)
Plasma HCG level (U/L)
Chemotherapy regimens∗
Surgery#
Pathologic results
Diagnosis
Time for β-HCG recovering to normal level (days)
cfDNA concentration (ng/μL)
P1
48
Mole
1
Lung (6)
3.0
33740
EMA‐CO
TLH
Invasive mole
GTN III:6
63
0.181
P2
52
Mole
1
Lung (6)
6.6
>272600
EMA‐CO
TLH and BSO
Invasive mole
GTN III:9
112
0.928
P3
40
Mole
>12
No
8.2
1622
EMA‐CO
Uterine wedge resection
Choriocarcinoma
GTN I:8
80
0.522
P4
25
Mole
4
No
3.0
4209
Actinomycin D
Uterine wedge resection
Choriocarcinoma
GTN I:3
63
0.477
P5
34
Mole
3
No
3.1
170672
EMA‐CO
No
None
GTN I:5
60
0.28
P6
26
Mole
1
Lung (1)
7.0
5036
Actinomycin D
No
None
GTN III:4
76
0.596
P7
25
Mole
1
Lung (7)
4.2
12730
EMA‐CO
No
None
GTN III:5
69
0.199
P8
24
Mole
1
Lung (2)
3.9
12498
EMA‐CO
No
None
GTN III:4
89
0.419
P9
43
Abortion
3
No
5.0
121750
EMA‐CO
TLH
Choriocarcinoma
GTN I:8
111
0.517
P10
30
Abortion
2
Lung (4)
4.2
18030
EMA‐CO
D&C
Choriocarcinoma
GTN III:5
83
0.211
P11
28
Mole
4
No
6.1
15957
EMA‐CO
Uterine wedge resection
Invasive mole
GTN I:5
49
0.403
∗EMA‐CO: etoposide, methotrexate, actinomycin D, cyclophosphamide, vincristine. #TLH: total laparoscopic hysterectomy; BSO: bilateral salphingo-oophorectomy; D&C: dilatation and curettage.