Author(s)

Volkan Ulker, Alpaslan Akyol, Ali Gedikbasi, Ceyhun Numanoglu, Ergul Demircivi, Huseyin Sitki Tuzlali

Department of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Kanuni Sultan Suleyman Teaching and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
Kanuni Sultan Suleyman Teaching and Research Hospital, Department of Obstetrics and Gynecology, Oncology Unit, Istanbul, Turkey.

Placental site trophoblastic tumor is a rare sub-group of gestational trophoblastic neoplasia. There is a wide clinical spectrum of presentation and behaviour ranging from a benign condition to an aggressive disease with a fatal outcome. We report a case of placental site trophoblastic tumor in 23-year-old women with irregular vaginal bleeding during postpartum lactation period. In addition to persistent low level β-hCG titers, ultrasound examination revealed a suspicious low-echoic area in the myometrium consistent with gestational trophoblastic disease. After histopathological examination of the specimen achieved by ultrasound-guided dilatation and curettage of the uterus, the placental site trophoblastic tumor diagnosis was made and subsequently total abdominal hysterectomy was performed. The patient had an uneventful recovery, and no recurrence was detected for 40 months in the follow-up period.

Gestational Trophoblastic Disease; Placental Site Trophoblastic Tumor; Hysterectomy

Ulker, V. , Akyol, A. , Gedikbasi, A. , Numanoglu, C. , Demircivi, E. and Tuzlali, H. (2013) A rare cause for gestational trophoblastic neoplasia: Placental site trophoblastic tumor. Open Journal of Obstetrics and Gynecology, 3, 451-453. doi: 10.4236/ojog.2013.36084.