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Evaluation

Are you evaluating a patient with a gestational trophoblastic tumor?

Age of patient

years

ß-HCG

IU/L

ABO group of patient

ABO group of male sexual companion

Size of largest tumor including uterine tumor

Number of metastases identified

Are there metastases to the brain?

Are there metastases to the liver?

Are there metastases to the GI tract?

Are there metastases to the spleen?

Are there metastases to the kidney?

Are there metastases to the lung?

Are there metastases to the vagina?

Did the patient receive prior chemotherapy for the GTD?

How many drugs were used for the chemotherapy?

Nature of any preceding pregnancy

Results

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