This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Treatment of choice for choriocarcinoma is: March 2012, March 2013 
Select and explain. 
A. Hysterectomy, B. Radiotherapy, C. Conservative, D. Chemotherapy
D: Chemotherapy
Answer: D: Chemotherapy 
Explanation: Ans: D i.e. Chemotherapy Management of choriocarcinoma Hysterectomy may be offered to decrease the number of treatments required for the patients who do not desire future feility Multiple modality approach (chemotherapy, surgery, and radiation) or multiagent chemotherapy (etoposide, methotrexate, actinomycin-D, cyclophosphamide, and vincristine) is utilized for poor prognosis metastatic GTT Single agent chemotherapy (methotrexate-commonly used, actinomycin-D) cures more than 90and of patients of non-metastatic gestational trophoblastic tumour/ GTT