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

被引:4
作者
Behnamfar, F. [1 ,2 ]
Mousavi, A. [3 ]
Rezapourian, P. [4 ]
Zamani, A. [3 ,5 ]
机构
[1] Esfahan Univ Med Sci, Esfahan 8184851153, Iran
[2] Beheshti Hosp, Esfahan, Iran
[3] Univ Tehran Med Sci, Tehran, Iran
[4] Kashan Univ Med Sci, Kashan, Iran
[5] Hamedan Univ Med Sci, Hamadan, Iran
关键词
Placental site trophoblastic tumor; Gestational trophoblastic neoplasia; Human chorionic gonadotropin; DISEASE; MANAGEMENT; PATIENT;
D O I
10.1016/j.placenta.2013.01.010
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
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 PSTE (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:460 / 462
页数:3
相关论文
共 13 条
  • [1] Alazzam M, 2008, J REPROD MED, V53, P519
  • [2] Placental site trophoblastic tumor with lung metastases as cause of death in a young patient: A case report
    Colecchi, Catia
    Partemi, Sara
    Minelli, Natalia
    Cascini, Fidelia
    Rossi, Riccardo
    Fulcheri, Ezio
    Pascali, Vincenzo L.
    Oliva, Antonio
    [J]. PLACENTA, 2011, 32 (12) : 1060 - 1063
  • [3] Gillespie AM, 2000, BRIT J CANCER, V82, P1186, DOI 10.1054/bjoc.1999.1061
  • [4] Placental site trophoblastic tumour: Clinical features and management
    Hassadia, A
    Gillespie, A
    Tidy, J
    Everard, RGNJ
    Wells, M
    Coleman, R
    Hancock, B
    [J]. GYNECOLOGIC ONCOLOGY, 2005, 99 (03) : 603 - 607
  • [5] Placental site trophoblastic tumour
    Kim, SJ
    [J]. BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY, 2003, 17 (06): : 969 - 984
  • [6] Kunz J, 2008, Praxis (Bern 1994), V97, P387
  • [7] Treatment of placental site trophoblastic tumor with hysterotomy and uterine reconstruction
    Leiserowitz, GS
    Webb, MJ
    [J]. OBSTETRICS AND GYNECOLOGY, 1996, 88 (04) : 696 - 699
  • [8] Placental site trophoblastic tumor: outcome of five cases including fertility preserving management
    Machtinger, R
    Gotlieb, WH
    Korach, J
    Fridman, E
    Apter, S
    Goldenberg, M
    Ben-Baruch, G
    [J]. GYNECOLOGIC ONCOLOGY, 2005, 96 (01) : 56 - 61
  • [9] Etoposide and cisplatin/etoposide, methotrexate, and actinomycin D (EMA) chemotherapy for patients with high-risk gestational trophoblastic tumors refractory to EMA/cyclophosphamide and vincristine chemotherapy and patients presenting with metastatic placental site trophoblastic tumors
    Newlands, ES
    Mulholland, PJ
    Holden, L
    Seckl, MJ
    Rustin, GJS
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (04) : 854 - 859
  • [10] Fertility sparing therapy in a patient with placental site trophoblastic tumor: A case report
    Numnum, T. Michael
    Kilgore, Larry C.
    Conner, Michael G.
    Straughn, J. Michael, Jr.
    [J]. GYNECOLOGIC ONCOLOGY, 2006, 103 (03) : 1141 - 1143