Presentation and management of molar pregnancy and gestational trophoblastic neoplasia in Latin America 1 13 PRESENTATION AND MANAGEMENT OF MOLAR PREGNANCY AND GESTATIONAL TROPHOBLASTIC NEOPLASIA IN LATIN AMERICA

Gestational Trophoblastic Disease (GTD) in Latin America (LA) has a wide range of presentation and management, depending on socioeconomic, political and geographic variables [1,2,3]. Thus, while some referral centers have sophisticated methods for an early and accurate diagnosis and treatment, still there are a high number of patients admitted with a late Hydatidiform Mole (HM) or advanced Gestational Trophoblastic Neoplasia (GTN). In most Latin-American countries, GTD is not included in public health policies. In this chapter, the experience of the GTD referral unit of the Department of Obstetrics and Gynecology of Hospital Universitario de Caracas (HUC), Universidad Central de Venezuela (UCV), will be described along with the experience of other specialized centers in LA.