Clinicopathological Features , Outcomes and Prognostic Factors of High Risk Patients of Gestational Trophoblastic Neoplasia

Inclusion Criteria: * • Patients diagnosed as high risk patient according to WHO classification\[10\] * Adequate clinical data available, including demographic, pathological, and treatment-related details. * Patients treated at Assuit university women's health hospital within a specified period (e.g., observational study covering period from Jan 2020 till dec 2025). Exclusion Criteria: * • Previous Malignancy - Patients with a history of other malignancies that may confound outcomes. * Non-GTN Gestational Trophoblastic Disease (GTD) - Patients with benign conditions such as complete or partial hydatidiform mole without progression to GTN. * Pregnant at Diagnosis - Patients diagnosed with GTN during an ongoing pregnancy. * Severe Comorbidities - Patients with significant non-GTN-related illnesses that could affect survival outcomes (e.g., severe heart, liver, or renal disease)