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Placental site trophoblastic tumor presenting with a pneumothorax during pregnancy
Jason D Wright1, Matthew A Powell, Neil S Horowitz
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. herzogt@msnotes.wustl.edu
Background:
Placental site trophoblastic tumor is a rare form of gestational trophoblastic disease that commonly presents with vaginal bleeding and amenorrhea after pregnancy.
Case:
A women with a normal gestation at 37 weeks presented with a pneumothorax. The patient underwent placement of a chest tube and a subsequent thoracoscopic pulmonary bullous resection for persistence of the pneumothorax. Histological examination of the specimen revealed a metastatic placental site trophoblastic tumor.
Conclusion:
Gestational trophoblastic disease must be considered in the differential diagnosis of pneumothorax during pregnancy.