TITLE:
A rare cause for gestational trophoblastic neoplasia: Placental site trophoblastic tumor
AUTHORS:
Volkan Ulker, Alpaslan Akyol, Ali Gedikbasi, Ceyhun Numanoglu, Ergul Demircivi, Huseyin Sitki Tuzlali
KEYWORDS:
Gestational Trophoblastic Disease; Placental Site Trophoblastic Tumor; Hysterectomy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.6,
July
17,
2013
ABSTRACT: Placental site trophoblastic tumor is a rare sub-group
of gestational trophoblastic neoplasia. There is a wide clinical spectrum of
presentation and behaviour ranging from a benign condition to an aggressive
disease with a fatal outcome. We report a case of placental site
trophoblastic tumor in 23-year-old women with irregular vaginal bleeding during
postpartum lactation period. In addition to persistent low level β-hCG titers, ultrasound examination
revealed a suspicious low-echoic area in the myometrium consistent with
gestational trophoblastic disease. After histopathological examination of the
specimen achieved by ultrasound-guided dilatation and curettage of the uterus,
the placental site trophoblastic tumor diagnosis was made and subsequently
total abdominal hysterectomy was performed. The patient had an uneventful
recovery, and no recurrence was detected for 40 months in the follow-up period.