Placental site trophoblastic tumor with perimetrial invasion and cesarean scar perforation (A case report)

Authors

  • Geeta Gurung Dept of Gyn/Obs, TU Teaching Hospital
  • Archana Amatya Dept of Gyn/Obs, TU Teaching Hospital
  • Nupur Thakur Dept of Gyn/Obs, TU Teaching Hospital
  • Ashma Rana Dept of Gyn/Obs, TU Teaching Hospital

Keywords:

Placental site trophoblastic tumour (PSTT), hysterectomy, low serum ß hCG

Abstract

Placental site trophoblastic tumor (PSTT) a rare variety of gestational trophobalstic neoplasia described in younger women, usually following term delivery characterized by low serum ß hCG level was met in a 32 year old lactating mother, who resumed normal menstruation after three months of cesarean section up to three cycles followed by amenorrhea for eight months; evacuation for presumed missed abortion prompted the diagnosis of PSTT which at the time of hysterectomy was found invading perimetrium and perforating the uterine cesarean scar.

Conclusion: Careful evaluation of lactational amenorrhea is indicated so that the diagnosis of PSST may not be missed in the background of elusive picture such as missed abortion with low serum ß hCG, histological examination of the evacuated material may be relied which may provide the diagnosis at times.

Key words: Placental site trophoblastic tumour (PSTT), hysterectomy, low serum ß hCG  

doi:10.3126/njog.v3i1.1443

NJOG 2008 May-June; 3(1): 55 - 57

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Author Biography

Geeta Gurung, Dept of Gyn/Obs, TU Teaching Hospital

Geeta Gurung. FCPS
Assoc Prof. Dept of Gyn/Obs, TU Teaching Hospital, IOM, Kath, Nepal
PO Box 1614, Kathmandu, Nepal.
Email: gurunggeeta@hotmail.com

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How to Cite

Gurung, G., Amatya, A., Thakur, N., & Rana, A. (2008). Placental site trophoblastic tumor with perimetrial invasion and cesarean scar perforation (A case report). Nepal Journal of Obstetrics and Gynaecology, 3(1), 55–57. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/1443

Issue

Vol. 3 No. 1 (2008)

Section

Case Reports

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