GTD care


At City of Hope, we understand that gestational trophoblastic disease (GTD) is a rare disease requiring expert care.
That’s why we’ll work with you, and one another, to develop a comprehensive treatment plan personalized to your individual needs, preferences and goals. Our board-certified gynecologic oncologists are trained and experienced in diagnosing and treating cancerous GTD. Your treatment plan may include surgery, chemotherapy and radiation therapy, as well integrative care therapies designed to help manage side effects like fatigue, nausea and neuropathy.

Cancer Treatment Centers of America® (CTCA) is now City of Hope®, joining forces to expand patient access to personalized, comprehensive cancer care.

How are we different?

Gynecologic cancer focus

GTD is such an important focus at City of Hope that each of our hospitals has a Gynecologic Cancer Center, dedicated to treating women with cancer of the reproductive organs. The multidisciplinary teams at each of our centers are singularly focused on screening, diagnosing and treating gynecologic cancers using standard-of-care and, when appropriate, innovative precision medicine treatments. Treatment for GTD typically includes surgery and/or chemotherapy. Surgery is typically the first-line treatment for molar pregnancies, which account for most cases of GTD.

Comprehensive team approach

Your GTD care team works all under one roof. That means you have access to state-of-the-art cancer treatments and supportive care services, all in one location. Your care team will be led by a fellowship-trained gynecologic oncologist, and your treatment plan will be coordinated by a care manager dedicated to orchestrating your schedule, communicating with the rest of your care team, getting your questions answered and helping you access your test results in a timely manner. Your care team may also include a medical, surgical and/or radiation oncologist, oncology nurses and a variety of supportive care providers, including a pelvic floor therapist.

Learn more about our approach to cancer care 

Whole-person care

Our doctors work with supportive care providers to deliver evidence-informed therapies designed to address the symptoms of GTD and the side effects of treatment. Some GTD patients experience pain, nausea and malnutrition. Our patients can meet with a pain management physician to help reduce pain and an oncology-trained dietitian, who may recommend a personalized nutrition plan to address nausea and malnutrition. The goal of integrative care is to keep you strong so you can better tolerate your treatments and maintain your quality of life.

Learn more about integrative care at City of Hope

Barbara Buttin, MD – Gynecologic Oncologist

“City of Hope provides a positive and uplifting environment for cancer patients and their families.”

Access to clinical trials

Clinical trials are critical tools researchers and doctors use to determine the safety and effectiveness of new drugs and therapies. At City of Hope, we’re committed to offering our patients innovative and new cancer treatments, including access to clinical trials when appropriate. These trials may provide therapies that are not yet widely available to qualified patients who have exhausted conventional treatment options or whose cancer is advanced or difficult to treat. Our cancer doctors and researchers will work with you to determine whether you qualify for a trial and, if so, help you enroll.

Learn more about clinical trials at City of Hope

City of Hope worked with me to accommodate my job schedule because I didn’t want to miss any work. Throughout the entire process, I felt I received thorough explanations, and I did not feel rushed when I had questions."

Zorta E.

Call us now to schedule your City of Hope consultation.

  • Meet with a team of gestational trophoblastic disease (GTD) experts
  • Oncology Information Specialists ready 24/7 to answer your call
  • Appointments available in as little as 24 hours
  • Whole-person care, all under one roof