EVALUATING SERUM ANTI-MULLERIAN HORMONE LEVELS IN GESTATIONAL TROPOBLASTIC NEOPLASIA PATIENTS TREATED WITH METHOTREXATE REGIMEN AND UTERINE PRESERVATION AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL
Main Article Content
Abstract
Objectives: Evaluating serum anti-Mullerian hormone (AMH) levels in patients with gestational trophoblastic neoplasia (GTN) treated with Methotrexate (MTX) regimen and preservation at Hanoi Obstetrics and Gynecology Hospital. Methods:This prospective study included 24 patients with GTN from August 2021 to April 2022. Results: The mean age was 26,7 ±4,93. 100% cases with FIGO scores ≤ 4 were treated MTX. The mean basal AMH level was 3,1 ±1,57ng/mL. The serum AMH levels decreased significantly after each chemotherapy cycle. The magnitude of the AMH level decline after 1st, 2nd and 3rd were 47,4±24,98; 65,9±26,75 và 72,5±27, respectively. Conclusion: The basal AMH level at diagnosis had a significant correlation with patient age. The serum AMH level decreased after each chemotherapy cycle and decline rapidly and steadily in all patients after chemotherapy.
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Keywords
gestational trophoblastic neoplasia, AMH (anti Mullerian hormone), MTX (methotrexat)
References
2. Dezellus A, Barriere P, Campone M, et al. Prospective evaluation of serum anti-Müllerian hormone dynamics in 250 women of reproductive age treated with chemotherapy for breast cancer. Eur J Cancer Oxf Engl 1990. 2017;79:72-80. doi:10.1016/j.ejca.2017.03.035
3. Hamre H, Kiserud CE, Ruud E, Thorsby PM, Fosså SD. Gonadal function and parenthood 20 years after treatment for childhood lymphoma: a cross-sectional study. Pediatr Blood Cancer. 2012;59(2):271-277. doi:10.1002/pbc.23363
4. Solheim O, Tropé CG, Rokkones E, et al. Fertility and gonadal function after adjuvant therapy in women diagnosed with a malignant ovarian germ cell tumor (MOGCT) during the “cisplatin era.” Gynecol Oncol. 2015;136(2):224-229. doi:10.1016/j.ygyno.2014.12.010
5. Hansen KR, Hodnett GM, Knowlton N, Craig LB. Correlation of ovarian reserve tests with histologically determined primordial follicle number. Fertil Steril. 2011;95(1):170-175. doi:10.1016/j.fertnstert.2010.04.006
6. Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2015;103(3):e9-e17. doi:10.1016/j.fertnstert.2014.12.093
7. Anderson RA, Themmen APN, Al-Qahtani A, Groome NP, Cameron DA. The effects of chemotherapy and long-term gonadotrophin suppression on the ovarian reserve in premenopausal women with breast cancer. Hum Reprod Oxf Engl. 2006;21(10):2583-2592. doi:10.1093/humrep/del201
8. Bi X, Zhang J, Cao D, et al. Anti-Müllerian hormone levels in patients with gestational trophoblastic neoplasia treated with different chemotherapy regimens: a prospective cohort study. Oncotarget. 2017;8(69):113920-113927. doi:10.18632/oncotarget.23027
9. Nguyễn Thái Giang. Kết quả điều trị u nguyên bào nuôi nguy cơ thấp tại Bệnh viện Phụ sản Trung ương. Tạp Chí Nghiên Cứu Học. 2019;Tập 121(Số 5):23-30.
10. Bi X, Zhang J, Cao D, et al. Anti-Müllerian hormone levels in patients with gestational trophoblastic neoplasia treated with different chemotherapy regimens: a prospective cohort study. Oncotarget. 2017;8(69):113920-113927. doi:10.18632/oncotarget.23027