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Placental site trophoblastic tumor (PSTT) initially misdiagnosed as cervical carcinoma
L C Horn1, U Göretzlehner, S Dirnhofer
1Institute of Pathology, Leipzig University.
The placental site trophoblastic tumor (PSTT) is the rarest form of trophoblastic disease and shows a wide spectrum of symptoms. A 32-year-old women is presented with PSTT after abruptio in the 7th week of gestation which was initially misdiagnosed as cervical carcinoma on cervical punch biopsy. Therefore, a radical Wertheim-Held hysterectomy was done. The uterus showed a small tumor restricted to the cavum with no cervical infiltration, resembling in all histologic and immunohistochemical features a PSTT. The pelvic lymph nodes showed no metastases. There was no nephrotic syndrome. The patient showed no evidence of disease fourteen months after hysterectomy.
The placental site trophoblastic tumor (PSTT) is the rarest form of trophoblastic disease and shows a wide spectrum of symptoms. A 32-year-old women is presented with PSTT after abruptio in the 7th week of gestation which was initially misdiagnosed as cervical carcinoma on cervical punch biopsy. Therefore, a radical Wertheim-Held hysterectomy was done. The uterus showed a small tumor restricted to the cavum with no cervical infiltration, resembling in all histologic and immunohistochemical features a PSTT. The pelvic lymph nodes showed no metastases. There was no nephrotic syndrome. The patient showed no evidence of disease fourteen months after hysterectomy.