Place de la chirurgie dans la prise en charge des tumeurs trophoblastiques gestationnelles

Case Report: Placental site trophoblastic tumor revealed by a clinical pelvic abscess

“…However, they have an unpredictable malignant potential and between 10 and 20% of patients have metastatic disease at the time of presentation. 1,2,7,10 Metastasis site include peritoneum, vagina, lung, liver and brain.…”

“…Hysterectomy without bilateral oophorectomy is the gold standard in PSTT management. 2,10 In fact, this entity is particularly less responding to chemotherapy than hydatiforme mole, invasive mole and choriocarcinoma. 2,10 When there is extension beyond the uterus, surgical treatment should be associated to chemotherapy.…”

“…2,10 When there is extension beyond the uterus, surgical treatment should be associated to chemotherapy. 2,10 Actually, the FIGO anatomical staging system is the strongest predictor of patient outcome presenting with PSTT. 2,7,10,11 After surgical treatment, patients should be followed up during years to optimize the chance of detecting a relapse or metastasis.…”

“…2,10 Actually, the FIGO anatomical staging system is the strongest predictor of patient outcome presenting with PSTT. 2,7,10,11 After surgical treatment, patients should be followed up during years to optimize the chance of detecting a relapse or metastasis. 7,10,11 Strengths and limitations This case report is interesting since it's the first reporting PSTT simulating a pelvic abscess.…”

“…2,7,10,11 After surgical treatment, patients should be followed up during years to optimize the chance of detecting a relapse or metastasis. 7,10,11 Strengths and limitations This case report is interesting since it's the first reporting PSTT simulating a pelvic abscess. However, PTTT are rare which prevents researchers from realizing large scale studies in order to develop valid management protocols.…”