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CARE-Placental site trophoblastic tumor presenting with thrombotic microangiopathy: A case report

Cai-Fu Zhao¹, Ze-Qing Du¹, Nan Li¹

¹Department of Gynaecology.

|November 10, 2018

Rationale:

Placental site trophoblastic tumor (PSTT) is a rare form of gestational trophoblastic neoplasm (GTN).

Patient Concerns:

A 28-year-old Chinese female with initial presentation of thrombotic microangiopathy (TMA) with symptoms of edema of the lower extremities and eyelid, thrombocytopenia and anemia.

Diagnoses:

The primary diagnosis was chronic glomerulonephritis according to the related laboratory tests and clinical symptoms.

Interventions:

A total abdominal hysterectomy with a bilateral salpingectomy was performed.

Outcomes:

The PSTT patient was cured, which contributed to the symptom relief of TMA.

Lessons:

This case report aims to elucidate the relationship between TMA and PSTT, so as to achieve timely diagnosis and treatment and reduce misdiagnosis.

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