IMR Press / EJGO / Volume 39 / Issue 4 / DOI: 10.12892/ejgo4232.2018

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Fertility-preserving treatment in three cases of placental site trophoblastic tumor
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1 Department of Gynecological Oncology, Tianjin Central Hospital of Gynecology and Obstetrics, Tianjin, China
† Contributed equally.
Eur. J. Gynaecol. Oncol. 2018, 39(4), 682–684;
Published: 10 August 2018

Placental site trophoblastic tumor (PSTT) is a rare variant of gestational trophoblastic disease. Fertility-sparing therapy for affected women, especially for those whose lesions are hypervascular of childbearing age is a challenge. The authors therefore decided to investigate the methods of fertility-sparing therapy for patients with PSTT. The cases of three patients with PSTT are presently described. All presented with disease confined to the uterus, and the lesions were hypervascular. Two patients underwent dilatation and curettage, and combined etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine/oncovin (EMA/CO) chemotherapy. One patient underwent hysteroscopic resection and EMA/CO chemotherapy. All patients underwent ultrasonography postoperatively to reevaluate the size of the lesion. The patients retained their reproductive function with no serious hemorrhage noted. The authors believe that patients with PSTT may be candidates for conservative therapy, even if the lesion is hypervascular. The sonographic presentation is important in deciding the treatment for affected patients.
Placental site trophoblastic tumor
Fertility-sparing treatment
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