Gestational trophoblastic disease (GTD)
Contact
- General Enquiries
- 020 3311 1234
Visitor Information
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The gestational trophoblastic disease (GTD) service at Charing Cross Hospital is a highly specialist service providing comprehensive registration, screening and clinical management for all forms of the disease.
Our internationally renowned GTD team are world leaders in the investigation and treatment of these rare conditions. Charing Cross Hospital is one of only two hospitals in the UK designated to treat GTD – registering around 1,200 women and treating around 120 women. We have a 100 per cent cure rate for patients identified through our registration and screening facility. Our service has the largest database of GTD patients in the world, holding records of over 35,000 women with the condition. This provides excellent data for research and audit, leading to excellent outcomes, improved treatment and better services for patients.
Conditions and treatments
GTD is a general term used to cover several diseases that occur during or following pregnancy. These include non-malignant (non-cancerous) partial and complete hydatidiform mole and the malignant (cancerous) invasive mole, as well as choriocarcinoma, and placental site trophoblastic tumour.
Most patients will not have heard of molar pregnancies, trophoblasts or choriocarcinoma, prior to their diagnosis, and finding reliable advice on the internet can be challenging.
Ninety per cent of women with GTD will not need to be seen at the hospital and will be monitored via the postal system with access to our advisory service for results and advice. In some cases, further treatment is required. Treatment for GTD is usually chemotherapy (drug treatment), but surgery is sometimes an option.
Clinics
Gestational trophoblastic disease (GTD) clinic at Charing Cross Hospital
Address
Clinic 8
First floor
Clinic block
Charing Cross Hospital
Fulham Palace Road
London W6 8RF
Hours
09.00 to 13.00, Monday through Friday
Contact information
Phone: 020 3311 1298
Results
You can contact the advisory team for test results from 09.00 to 16.00 (closed between 13.00 and 14.00), Monday through Friday.
Phone: 020 3311 1409
Email: ichc.hmole@nhs.net
Meet the team
Consultants
Professor Michael Seckl
Dr Naveed Sarwar
Dr Reece Caldwell
Dr Ehsan Ghorani
Clinical nurse specialists
Natashia Cedeno
Debbie Damon
Michelle Greenwood, lead clinical nurse specialist
Amber Goldsmith, clinical nurse advisor
Kamsorochi Mezue
Counsellor
Hannah Ruthven
IT support
Patrick McClean
Terry Tin
Diagnostic staff
Geoff Maher, geneticist
Baljeet Kaur, pathologist
Registration, admin and secretarial staff
Yasmin Ahmed
Tina Barker
Donna Bedford-Morris
Lisa Browne
Claire Ellis
Liza Lindsay
Ramakrishna Ramalingam
Patient information
Before your appointment
Most women with GTD will not need to be seen at the hospital. The nurse advisor will contact you if a clinic appointment is required and an appointment will be offered within a few days, depending on urgency. Occasionally it will be an emergency situation and you may be asked to attend on the same day.
You are welcome to bring a relative or close friend with you to your appointment. You are also welcome to ask for a chaperone and we will endeavour to provide one for you. You will not be asked to fast, but you may be asked to arrive with a full bladder to enable a pelvic ultrasound scan to be done.
If you have been offered a clinic appointment we will need a detailed medical history from you. Please note down and bring with you any important medical events, dates of all your pregnancies and outcomes, contraceptive use, any fertility treatment, medications you take regularly and any other points you think the doctor needs to know about.
During your appointment
Please report to Clinic 8 reception when you arrive. You will have a blood test on arrival. You will need to take a ticket outside the blood room and wait to be called.
Please allow a whole day for your visit, especially if having imaging and blood tests on the same day as your clinic appointment. You will see one of our specialist doctors who will take a detailed medical history and organise the necessary investigations to establish or confirm a diagnosis. The investigations are likely to include blood tests, a pelvic ultrasound and a chest x-ray. Some other scans may also be required.
After your appointment
Results are nearly always available on the day. Once your results are ready, the consultant and/or specialist nurses will see you again to discuss the results and a treatment plan.
Patient resources
Our GTD telephone advisory line can give you information and also provides advice and a results service for patients and healthcare professionals during office hours.
Phone: 020 3311 1409
Fax: 020 3313 5577
Email: ichc.hmole@nhs.net
You can contact the advisory team for test results from 09.00 to 16.00 (closed between 13.00 and 14.00), Monday through Friday.
Patient information leaflets
- Atypical placental site nodules
- Gestational Trophoblastic disease (GTD)
- Gestational trophoblastic disease - counselling
- Life after gestational trophoblastic disease
- Molar pregnancy
- Non-molar miscarriages why you don't need follow up
- Ovarian germ cell cancer
Refer to this service
GP and secondary care advice
We offer a telephone advisory service, which is open from 09.00 to 16.00 (closed between 13.00 and 14.00), Monday through Friday. This service offers advice about referrals, information for patients registered with the GTD service and gives general advice to healthcare professionals.
Contact information
Advisory service: 020 3311 1409
Referrals
Referrals to this service are usually from gynaecologists. However, sometimes GPs do refer. Referrals for hydatidiform mole follow-up registration should be submitted on the official registration form, which can be downloaded here. You can also register to our secure site online. This site can only be accessed from an NHS computer using an NHS email address.
Additional information
In an emergency please telephone the advisory service on 020 3311 1409, or if out of hours, call the hospital switchboard on 020 3311 1234, speak to the operator and ask for the on call medical oncology registrar.
Additional information
Education
We welcome short and long term placements for visiting doctors both nationally and internationally who have an interest in GTD. Nurses with an interest in GTD are also welcome to visit. Please contact ichc.hmole@nhs.net.
Patient drop-in sessions
Patient drop-in sessions are held on a regular basis. To find out more, please contact the advisory team on 020 3311 1409.
Further online resources
- Miscarriage Association: the Miscarriage Association provides support and information for anyone affected by miscarriage, ectopic pregnancy or molar pregnancy.
- Cancer Treatment and Research Trust: The Cancer Treatment and Research Trust plays a key role in raising funds for the world-class cancer research undertaken by consultants at the Mount Vernon Cancer Centre, Charing Cross Hospital and Hammersmith Hospital in west London.
- Imperial Health Charity: We welcome donations to the Charing Cross GTD and Ovarian Germ Cell Team Fund supporting the nurses and extended team based at Charing Cross Hospital – quote SPF 8042
- Cancer Research UK
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