According to FIGO 2000 scoring for gestational trophoblastic neoplasia (GTN), a patient has: prior term delivery, 5-month interval since antecedent pregnancy, beta-hCG 45,000 mIU/mL, largest tumour 4 cm, lung metastases only (3 lesions), no prior chemotherapy. Her total FIGO prognostic score is:
- A 7
- B 5
- C 9 ✓
- D 11
Correct answer: C. 9
Explanation
FIGO 2000 scoring: antecedent term pregnancy = 4 points; interval 4–6 months = 1 point; beta-hCG 10,000–100,000 mIU/mL (45,000 falls here) = 2 points; largest tumour 3–4 cm = 1 point; lung-only metastases = 0 points; 1–4 metastases (3 lesions) = 1 point; no prior chemotherapy = 0 points. Total = 4+1+2+1+0+1+0 = 9. A score ≥ 7 classifies the patient as high-risk GTN requiring combination chemotherapy (EMA-CO).
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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