Your doctor will talk to you about the most appropriate type of surgery, depending on the type and stage of gestational trophoblastic disease.
Dilation and curettage (D&C)
Dilation and curettage (D&C) with suction evacuation is a procedure to remove tissue from the cervical canal or the inner lining of the uterus. The cervix (the opening of the uterus) is dilated (made larger) and the material inside the uterus is removed with a small vacuum-like device. The walls of the uterus are then scraped gently to remove any material that may remain in the uterus.
This procedure is used only for molar pregnancies.
Following this procedure, your doctor will follow you closely with regular blood tests to make sure your level of hCG falls to normal levels. If the level of hCG increases or does not go down to normal, more tests will be done to see whether the tumour has spread. Treatment will then depend on whether you have nonmetastatic or metastatic gestational trophoblastic neoplasia.
A hysterectomy is the surgical removal of the uterus. It is rarely necessary in the treatment of gestational trophoblastic disease, and if it is, the ovaries will not usually be removed.e 4