The role of the ultrasound examination in atypical placental site trophoblastic tumour differential diagnosis and management. A case report.

IF 1.8 4区 医学 Q2 ACOUSTICS
Medical Ultrasonography Pub Date : 2022-08-31 Epub Date: 2021-07-01 DOI:10.11152/mu-3149
Monica Mihaela Cirstoiu, Maria Sajin, Alexandru Baros, Sorin Vasilescu, Natalia Turcan
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引用次数: 2

Abstract

Placental site trophoblastic tumour (PSTT) is a very rare and unique form of gestational trophoblastic tumour, representing about 1-2% of all gestational trophoblastic tumours. Usually, the pattern is a slow growing nodule implicating the endometrium and myometrium, accompanied by abnormal uterine bleeding. Three ultrasound types of PSTT are described, but thereis no specific characteristic for diagnosis. We present the case of a patient with an atypical placental site trophoblastic tumour diagnosed two months after a caesarean scar pregnancy. In the presented case there are several particularities, such as the rapid growth and progression of the tumour, the limitation to the myometrium and the difficulty of the differential diagnosis and approach.

超声检查在不典型胎盘部位滋养细胞瘤鉴别诊断和治疗中的作用。一份病例报告。
胎盘部位滋养细胞肿瘤(PSTT)是一种非常罕见和独特的妊娠滋养细胞肿瘤,约占妊娠滋养细胞肿瘤的1-2%。通常,这种模式是一个缓慢生长的结节,累及子宫内膜和子宫肌层,并伴有异常子宫出血。本文描述了PSTT的三种超声类型,但没有具体的诊断特征。我们提出的情况下,患者与一个不典型的胎盘部位滋养细胞肿瘤诊断两个月后剖腹产疤痕妊娠。在本病例中,有几个特点,如肿瘤的快速生长和进展,对肌层的限制以及鉴别诊断和方法的困难。
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来源期刊
Medical Ultrasonography
Medical Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.20
自引率
5.90%
发文量
79
期刊介绍: The journal aims to promote ultrasound diagnosis by publishing papers in a variety of categories, including editorial letters, original papers, review articles, pictorial essays, technical developments, case reports, letters to the editor or occasional special reports (fundamental, clinical as well as methodological and educational papers). The papers published cover the whole spectrum of the applications of diagnostic medical ultrasonography, including basic science and therapeutic applications. The journal hosts information regarding the society''s activities, scheduling of accredited training courses in ultrasound diagnosis, as well as the agenda of national and international scientific events.
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