Unsuccessful planned conservative resection of placental site trophoblastic tumor. uri icon

Overview

abstract

  • BACKGROUND: Placental site trophoblastic tumor is a rare subtype of gestational trophoblastic neoplasia affecting women of reproductive age. The preferred method of treatment is surgical resection. CASE: A 33-year-old woman, gravida 3 para 1111, was incidentally diagnosed with placental site trophoblastic tumor during an evaluation for infertility. As a result of persistent pathologic evidence of disease, she underwent a hysterectomy. The site of disease on pathologic review of the hysterectomy specimen was widely discordant from the preoperative imaging and hysteroscopic evaluations. CONCLUSION: Wedge resection of the uterus has been suggested as an acceptable alternative to hysterectomy in women with placental site trophoblastic tumor who wish to preserve future fertility. However, this case demonstrated that preoperative imaging may not correlate with the tumor site, making wedge resection treatment ineffective.

publication date

  • February 1, 2013

Research

keywords

  • Pregnancy Complications, Neoplastic
  • Trophoblastic Tumor, Placental Site
  • Uterine Neoplasms

Identity

Scopus Document Identifier

  • 84873831816

Digital Object Identifier (DOI)

  • 10.1097/aog.0b013e31826d7da6

PubMed ID

  • 23344410

Additional Document Info

volume

  • 121

issue

  • 2 Pt 2 Suppl 1