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Placental Site Trophoblastic Tumor, Report of a Case With Unusual Presentation Publisher Pubmed



Behnamfar F1, 2 ; Mousavi A3 ; Rezapourian P4 ; Zamani A3, 5
Authors
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Authors Affiliations
  1. 1. Esfahan University of Medical Sciences, Esfahan 8184851153, Iran
  2. 2. Beheshti Hospital, Motahari Street, Esfahan, Iran
  3. 3. Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Kashan University of Medical Sciences, Kashan, Iran
  5. 5. Hamedan University of Medical Sciences, Hamedan, Iran

Source: Placenta Published:2013


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. ©2013 Elsevier Ltd. All rights reserved.