Epithelioid trophoblastic tumor presenting as a Caesarean scar defect: A case report

Background: Epithelioid trophoblastic tumor is a rare form of gestational trophoblastic neoplasia. We present the first known case of this rare malignancy presenting as a Caesarean scar defect. Case: A patient with 3 prior Caesarean sections presented with vaginal bleeding 2 months following managem...

Full description

Saved in:
Bibliographic Details
Main Authors: Kristin A. Black (Author), Kristen Simone (Author), Cassandra Hirt-Walsh (Author), Jeanelle Sabourin (Author)
Format: Book
Published: Elsevier, 2021-05-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Epithelioid trophoblastic tumor is a rare form of gestational trophoblastic neoplasia. We present the first known case of this rare malignancy presenting as a Caesarean scar defect. Case: A patient with 3 prior Caesarean sections presented with vaginal bleeding 2 months following management of retained products of conception. Her hCG was negative. She underwent surgical repair of a Caesarean scar defect, and pathology was consistent with epithelioid trophoblastic tumor. Conclusion: This case highlights the possibility of malignancy presenting to the general gynecologist as a Caesarean scar defect. The diagnosis of gestational trophoblastic neoplasia should always be considered in the differential diagnosis of a patient with postpartum vaginal bleeding. Limited evidence on fertility conserving treatment of epithelioid trophoblastic tumors does not seem favorable.
Item Description:2352-5789
10.1016/j.gore.2021.100715