Zeng Xianling, Liu Xi, Tian Quan, Xue Yan, An Ruifang
Department of Obstetrics and Gynecology, the First Affiliated Hospital, Xi'an Jiao Tong University, Xi'an, China;
Department of Pathology, the First Affiliated Hospital, Xi'an Jiao Tong University, Xi'an, China.
Intractable Rare Dis Res. 2015 Aug;4(3):147-51. doi: 10.5582/irdr.2015.01013.
Here, we report a case of a placental site trophoblastic tumor (PSTT) in a 36-year-old Chinese woman 10 months after a normal pregnancy. Two months postpartum, the woman presented with abnormal vaginal discharge and her condition was overlooked by her local hospital. The woman did not receive further attention until a mass with a heterogeneous echo was found in an ultrasound examination eight months postpartum. The final diagnosis was confirmed by histological examinations in conjunction with immunohistochemical studies. Since the patient had potential risk factors, she was successfully treated with a hysterectomy and peri- and post-operative chemotherapy. The latest follow-up (16 months after diagnosis) was uneventful, and the patient exhibited no signs of recurrence or metastasis.
在此,我们报告一例36岁中国女性在正常妊娠10个月后发生胎盘部位滋养细胞肿瘤(PSTT)的病例。产后两个月,该女性出现异常阴道分泌物,当地医院未重视其病情。直到产后8个月超声检查发现一个回声不均匀的肿块,该女性才得到进一步关注。最终诊断通过组织学检查结合免疫组化研究得以证实。由于患者存在潜在风险因素,她成功接受了子宫切除术及围手术期和术后化疗。最新随访(诊断后16个月)情况良好,患者未出现复发或转移迹象。