Research Article

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.

PatientsAgeAntecedent pregnancyInterval from index pregnancy (months)Distant metastasis (number)Maximum lesion diameter (cm)Plasma HCG level (U/L)Chemotherapy regimensSurgery#Pathologic resultsDiagnosisTime for β-HCG recovering to normal level (days)cfDNA concentration (ng/μL)

P148Mole1Lung (6)3.033740EMA‐COTLHInvasive moleGTN III:6630.181
P252Mole1Lung (6)6.6>272600EMA‐COTLH and BSOInvasive moleGTN III:91120.928
P340Mole>12No8.21622EMA‐COUterine wedge resectionChoriocarcinomaGTN I:8800.522
P425Mole4No3.04209Actinomycin DUterine wedge resectionChoriocarcinomaGTN I:3630.477
P534Mole3No3.1170672EMA‐CONoNoneGTN I:5600.28
P626Mole1Lung (1)7.05036Actinomycin DNoNoneGTN III:4760.596
P725Mole1Lung (7)4.212730EMA‐CONoNoneGTN III:5690.199
P824Mole1Lung (2)3.912498EMA‐CONoNoneGTN III:4890.419
P943Abortion3No5.0121750EMA‐COTLHChoriocarcinomaGTN I:81110.517
P1030Abortion2Lung (4)4.218030EMA‐COD&CChoriocarcinomaGTN III:5830.211
P1128Mole4No6.115957EMA‐COUterine wedge resectionInvasive moleGTN I:5490.403

EMA‐CO: etoposide, methotrexate, actinomycin D, cyclophosphamide, vincristine. #TLH: total laparoscopic hysterectomy; BSO: bilateral salphingo-oophorectomy; D&C: dilatation and curettage.