Vaginal Lesion with Placental Site Trophoblastic Tumor after Partial Molar Pregnancy – A Case Report

Authors

  • Carina Vorisek
  • Magda Bokun
  • Felix Zeppernick
  • Christian Enzensberger
  • Stefan Gattenlöhner
  • Ivo Meinhold-Heerlein

Abstract

Background: Gestational trophoblastic neoplasia (GTN) is a rare disease developing after normal or molar pregnancy. Clinical presentation can be heterogenous while early detection of GTN is crucial for treatment success. We report a rare case with vaginal location of placental site tumor (PSTT) after suction curettage of partial molar pregnancy.

Case Report: We report a 25 year-old gravida III, para I patient with partial molar pregnancy and following placental site tumor located at the left vaginal wall. The patient presented with heavy vaginal bleeding and persistent human chorionic gonadotropin (β-hCG) levels twenty-five days after suction curettage. Due to persistent β-hCG levels and histology report suggesting PSTT, chemotherapy with methotrexate (MTX) was started and lead to curation of the disease after 11 cycles of treatment.

Conclusion: GTN clinical presentation as well as tumor location can vary. β-hCG estimations after partial molar pregnancy are crucial for early diagnosis.

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Published

2020-07-13

How to Cite

Vorisek, C., Bokun, M., Zeppernick, F., Enzensberger, C., Gattenlöhner, S., & Meinhold-Heerlein, I. (2020). Vaginal Lesion with Placental Site Trophoblastic Tumor after Partial Molar Pregnancy – A Case Report. Archives of Clinical and Medical Case Reports, 4(4), 670–676. Retrieved from https://fortunejournals.org/ojs/index.php/acmcr/article/view/22364

Issue

Vol. 4 No. 4 (2020): Volume 4, Issue 4

Section

Articles