<p>Placental site trophoblastic tumour (PSTT) is a rare subtype of gestational trophoblastic neoplasm arising from placental implantation site. It often presents with atypical clinical features and is resistant to chemotherapy. Rarely, it may lead to formation of arterio-venous malformation (AVM) due to vascular invasion by proliferating intermediate trophoblasts. Here, we present a rare case of PSTT, initially managed with subtotal hysterectomy and subsequently developed a large pelvic AVM. She had life-threatening haemorrhage and was treated by surgical resection after failed endovascular embolization. Currently, the patient remains in complete remission at 18 months follow-up. Only three reports of AVM associated with PSTT have been documented so far. To the best of our knowledge, this is the fourth such case reported in the literature.</p>

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Navigating Arterio-venous Malformations in Placental Site Trophoblastic Tumour: Dilemmas and Successful Management

  • Swati Tomar,
  • Suvidya Singh,
  • Sandeep R. Mathur,
  • M. D. Ray,
  • Sachin Khurana,
  • Neena Malhotra,
  • Seema Singhal

摘要

Placental site trophoblastic tumour (PSTT) is a rare subtype of gestational trophoblastic neoplasm arising from placental implantation site. It often presents with atypical clinical features and is resistant to chemotherapy. Rarely, it may lead to formation of arterio-venous malformation (AVM) due to vascular invasion by proliferating intermediate trophoblasts. Here, we present a rare case of PSTT, initially managed with subtotal hysterectomy and subsequently developed a large pelvic AVM. She had life-threatening haemorrhage and was treated by surgical resection after failed endovascular embolization. Currently, the patient remains in complete remission at 18 months follow-up. Only three reports of AVM associated with PSTT have been documented so far. To the best of our knowledge, this is the fourth such case reported in the literature.