Affects younger women in the child bearing age. Monitored by checking HCG levels.
Usually chemotherapy with methotrexate is adequate.
If the hormones levels do not return to normal or keep rising, the patient needs to be switched over to the EMA-CO procotol – Etoposide, Methotrexate, Dactinomycin – Cyclophosphamide, Vincristine (alternating week regimen).
Curable diseases must always be treated.