Placental site trophoblastic tumor, report of a case with unusual presentation

Abstract Placental site trophoblastic tumor (PSTT) is the rarest type of gestational trophoblastic tumors. Common presentation is irregular vaginal bleeding. A 26-year-old G1P1 woman presented with 15 month amenorrhea, a large uterine mass and plateau low level of serum human chorionic gonadotropin...

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Bibliographic Details
Published in:Placenta (Eastbourne) 2013-05, Vol.34 (5), p.460-462
Main Authors: Behnamfar, F, Mousavi, A, Rezapourian, P, Zamani, A
Format: Article
Language:English
Subjects:
Adult
Amenorrhea
Biological and medical sciences
Chorionic Gonadotropin - blood
Embryology: invertebrates and vertebrates. Teratology
Female
Fundamental and applied biological sciences. Psychology
Gestational trophoblastic neoplasia
Human chorionic gonadotropin
Humans
Hysterectomy
Internal Medicine
Obstetrics and Gynecology
Placental site trophoblastic tumor
Pregnancy
Pregnancy. Parturition. Lactation
Tomography, X-Ray Computed
Treatment Outcome
Trophoblastic Tumor, Placental Site - diagnosis
Trophoblastic Tumor, Placental Site - surgery
Ultrasonography
Uterine Neoplasms - diagnosis
Uterine Neoplasms - surgery
Vertebrates: reproduction
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Summary:Abstract Placental site trophoblastic tumor (PSTT) is the rarest type of gestational trophoblastic tumors. Common presentation is irregular vaginal bleeding. A 26-year-old G1P1 woman presented with 15 month amenorrhea, a large uterine mass and plateau low level of serum human chorionic gonadotropin (hCG) which raised the possibility of PSTT. Since whole myometrium had been substituted with the large tumoral mass, hysterectomy was considered despite the young age of the patient. The patient has been in remission 36 months postoperatively without receiving any adjuvant treatment. It seems that plateau low levels of hCG in the presence of amenorrhea should prompt the possibility of PSTT.
ISSN:0143-4004
1532-3102
DOI:10.1016/j.placenta.2013.01.010