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September 10, 2026Expert Review of Anticancer Therapy

The role of chemotherapy in high-risk gestational trophoblastic neoplasia

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Authors

ABAntonio BragaGPGabriela PaivaMAManisha Asrani

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Overview

Narrative review reports optimal chemotherapy regimens in high-risk gestational trophoblastic neoplasia, highlighting that tailored treatments and centralized care reduce preventable mortality.

Key Points

  • To review the role of chemotherapy, risk stratification, and emerging therapeutic approaches in maximizing cure rates and eliminating preventable mortality in high-risk gestational trophoblastic neoplasia.
  • Narrative literature review conducted across PubMed/MEDLINE, Scopus, and Web of Science from database inception through July 2026, supplemented by guideline analysis.
  • Studies were evaluated and qualitatively synthesized based on clinical relevance and methodological rigor, focusing on first-line regimens, salvage therapies, and chemoresistance mechanisms.
  • Multiagent chemotherapy serves as the primary standard of care, while diagnostic delays, poor risk stratification, and inadequate drug regimens remain the primary drivers of adverse clinical outcomes.
  • Emerging strategies including molecular diagnostics, predictive biomarkers, targeted therapies, and immunotherapy combined with centralized care models offer pathways to personalize treatment and decrease toxicity.

Cite This Study

Braga et al. (2026) studied this question.

synapsesocial.com/papers/6aa27a5658559d80afc72fb8https://doi.org/10.1080/14737140.2026.2730174
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