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...
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Main Authors: | , , , |
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Format: | Book |
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Elsevier,
2021-05-01T00:00:00Z.
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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. |
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Item Description: | 2352-5789 10.1016/j.gore.2021.100715 |