EMA-CO regime of chemotherapy is used in the treatment of?
Correct Answer: Gestational trophoblastic neoplasia
Description: Ans. A. Gestational trophoblastic neoplasiaPatients with high-risk tumors (high beta-hCG levels, disease presenting >=4 months after antecedent pregnancy, brain or liver metastasis, or failure of single-agent methotrexate) are initially treated with combination chemotherapy. EMA-CO (a cyclic non-cross-resistant combination of etoposide, methotrexate, and dactinomycin alternating with cyclophosphamide and vincristine); cisplatin, bleomycin, and vinblastine; and cisplatin, etoposide, and bleomycin are effective regimens. EMA-CO is now the regimen of choice for patients with high-risk disease because of excellent survival rates (>80%) and less toxicity.
Category:
Gynaecology & Obstetrics
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