alexa A Placental Site Trophoblastic Tumor Complicated with A
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

A Placental Site Trophoblastic Tumor Complicated with Arteriovenous Malformation: A Case Report

Tomoko Nakamura1*, Akira Iwase1, Chiharu Ishida2, Sachiko Takikawa2, Maki Goto2 and Fumitaka Kikkawa2
1Department of Maternal and Perinatal Medicine, Nagoya University Hospital, Japan
2Department of Obstetrics and Gynecology, Nagoya University Hospital, Japan
Corresponding Author : Tomoko Nakamura
Department of Maternal and Perinatal Medicine
Nagoya University Hospital, Japan
Tel: +81-52-744-2261
E-mail: [email protected]
Received August 19, 2015; Accepted September 10, 2015; Published September 17, 2015
Citation:Nakamura T, Iwase A, Ishida C, Takikawa S, Goto M, et al. (2015) A Placental Site Trophoblastic Tumor Complicated with Arteriovenous Malformation: A Case Report. J Clin Case Rep 5:596. doi:10.4172/2165-7920.1000596
Copyright: ©2015 Nakamura T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A placental site trophoblastic tumor requires care in management and a prompt diagnosis. Placental site trophoblastic tumor is a rare type of gestational trophoblastic disease and displays non-specific presentations similar to those of uterine arteriovenous malformation and those of non-neoplastic gestational trophoblastic diseases such as placental polypoid tumor. Diagnosis from biopsy is extremely rare, and a delay in diagnosis can result in a poor prognosis for patients with placental site trophoblastic tumor. Although patients with placental site trophoblastic tumor, uterine arteriovenous malformation, and placental polypoid tumor are all commonly in their reproductive years, most patients with uterine arteriovenous malformation and placental polypoid tumor can have their fertility preserved with transcatheter arterial embolism treatment. However, hysterectomy is the primary choice of treatment, which should be promptly performed when placental site trophoblastic tumor is suspected. We report a patient presenting with a hypervascular uterine tumor with added complications of uterine arteriovenous malformation. Transcatheter arterial embolism was performed in attempt to manage arteriovenous malformation and to preserve fertility, but the treatment was incomplete and only temporary. This raised the suspicion of placental site trophoblastic tumor, which was confirmed by hysterectomy. Incomplete and temporary success with transcatheter arterial embolism may suggest placental site trophoblastic tumor.

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