A Rare Gestational Trophoblastic Disease: Placental Site Trophoblastic Tumor

Authors

  • Senem Yaman Tunç Dicle University School of Medicine Department of Gynecology and Obstetrics, Diyarbakır
  • Elif Ağaçayak Dicle University School of Medicine Department of Gynecology and Obstetrics, Diyarbakır
  • Mehmet Sait İçen Dicle University School of Medicine Department of Gynecology and Obstetrics, Diyarbakır
  • Serdar Başaranoğlu Idil State Hospital Department of Gynecology and Obstetrics, Şırnak
  • Mehmet Sıddık Evsen Dicle University School of Medicine Department of Gynecology and Obstetrics, Diyarbakır
  • Yahya Avcı Dicle University School of Medicine Department of Pathology, Diyarbakır
  • Zuhat Urakcı Dicle University School of Medicine Department of Medical Oncology, Diyarbakır
  • Talip Gül Dicle University School of Medicine Department of Gynecology and Obstetrics, Diyarbakır

DOI:

https://doi.org/10.21613/GORM.2016.485

Keywords:

Placental site trophoblastic tumor, Low ß-HCG, Hysterectomy, Chemotherapy.

Abstract

Placental site trophoblastic tumor (PSTT) is a highly rare form of gestational trophoblastic diseases that arise from intermediate trophoblastic cells. By presenting this case, we aimed to review the treatment and diagnosis, approach to PSTT.
A 31-year-old (G2P1A1L1) patient had abnormal vaginal bleeding. Serum ß-HCG was 5.82 mIU/ml and the transvaginal USG detected a polypoid mass in uterine cavity. Probe curettage was performed. Histopathologic specimens were confirmed as PSTT. No metastasis was detected. A total abdominal hysterectomy was performed.
PSTT is a rare tumor. In contrast to other trophoblastic tumors, PSTT produces a small amount of ß-HCG and it is relatively insensitive to chemotherapy. Adjuvant chemotherapy is suggested to follow surgical treatment in the cases with metastasis.

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Published

2016-12-28

How to Cite

1.
Tunç SY, Ağaçayak E, İçen MS, Başaranoğlu S, Evsen MS, Avcı Y, Urakcı Z, Gül T. A Rare Gestational Trophoblastic Disease: Placental Site Trophoblastic Tumor. Gynecol Obstet Reprod Med [Internet]. 2016Dec.28 [cited 2021Feb.25];22(3):171-3. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/485

Issue

Section

Case Reports

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