IMR Press / EJGO / Volume 41 / Issue 4 / DOI: 10.31083/j.ejgo.2020.04.5182
Open Access Case Report
Placental site trophoblastic tumor as a rare cause of irregular bleeding in a female of reproductive age
Show Less
1 First Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece
2 Second Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Greece
Eur. J. Gynaecol. Oncol. 2020, 41(4), 651–653; https://doi.org/10.31083/j.ejgo.2020.04.5182
Submitted: 13 March 2018 | Accepted: 14 May 2019 | Published: 15 August 2020
Abstract

Objective: A case of placental site trophoblastic tumor (PSTT) that presented with abnormal vaginal bleeding is reported because of its rarity. Case report: The patient presented with 8 weeks of amenorrhea, vaginal bleeding and a persistently low titer of β-human chorionic gonadotropin (βhCG). A large circumscribed mass in the uterus was revealed by ultrasound and magnetic resonance imaging. Hysteroscopic biopsy confirmed the presence of PSTT and a hysterectomy was subsequently performed. The patient is well after 6 months of follow up and her βhCG titer normalized. Conclusion: Rare forms of trophoblastic disease should be considered in the differential diagnosis of persistent bleeding and low titers of βhCG.

Keywords
Placental site trophoblastic tumor
Gestational trophoblastic disease
Trophoblastic tumor
Intermediate trophoblasts
Figures
Figure 1.
Share
Back to top