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

  • Geeta Gurung, Archana Amatya, Nupur Thakur, Ashma Rana

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  

Published
Aug 11, 2015
How to Cite
NUPUR THAKUR, ASHMA RANA, Geeta Gurung, Archana Amatya,. Placental site trophoblastic tumor with perimetrial invasion and cesarean scar perforation (A case report). Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 3, n. 1, p. 55-57, aug. 2015. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/297>. Date accessed: 20 nov. 2019.
Section
Case Reports