See above.
the choice of treatment is EMA-CO .
Many thanks Dr Romano but what about single agent like actinomycin D ?
Dr Ganesh , Actinomycin D is working well in low risk gestational trophoblastic neoplasia. In High risk the protocols EMA-CO and EP-EMA. Also paclitaxel containin regimen (TP/TE) may play a role
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