Successful treatment of placental site trophoblastic tumor in twin pregnancy without hysterectomy

To the best of the authors' knowledge, no case of placental site trophoblastic tumor (PSTT) pertinent to twin pregnancy has yet been published. There are only few case reports concerning patients with PSTT who were successfully treated by fertility-sparing methods. A 29-year-old nulliparous wom...

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Published inTumori Vol. 95; no. 1; pp. 108 - 111
Main Authors Liszka, Lukasz, Wilk, Mariusz, Wodolazski, Anatol, Palen, Piotr, Sikora, Jerzy
Format Journal Article
LanguageEnglish
Published United States 01.01.2009
Subjects
Adult
Cesarean Section
Female
Humans
Hysterectomy
Immunohistochemistry
Male
Neoplasm Recurrence, Local - pathology
Obstetric Labor, Premature
Placenta - pathology
Pregnancy
Trophoblastic Neoplasms - metabolism
Trophoblastic Neoplasms - pathology
Trophoblastic Neoplasms - surgery
Twins
Uterine Neoplasms - metabolism
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
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Summary:To the best of the authors' knowledge, no case of placental site trophoblastic tumor (PSTT) pertinent to twin pregnancy has yet been published. There are only few case reports concerning patients with PSTT who were successfully treated by fertility-sparing methods. A 29-year-old nulliparous woman was admitted to hospital in the 36th week of a twin pregnancy due to symptoms of preterm labor. She underwent a cesarean section, during which a 4-cm uterine mass was found and resected. Histopathology revealed PSTT. Eighteen weeks after the delivery an ultrasound scan displayed another intrauterine mass, 2 cm in size. In the material resected in hysteroscopy there was necrotic decidual tissue. Another 30 months of observation revealed no abnormalities. Even though PSTT is rarely diagnosed, it may cause significant diagnostic and therapeutic problems.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0300-8916
2038-2529
DOI:10.1177/030089160909500120