Unusual discovery of metastatic GTT causing death in a young woman

Abstract

Gestational trophoblastic disease corresponds to cystic degeneration of the trophoblast villi with excessive secretion of choriogonatrophinic hormone (HCG), groups together lesions : · Benign lesions known as hydatidiform moles (partial or complete) · Malignant lesions known as gestational trophoblastic tumors (GTT), comprising : o Choriocarcinomas o Invasive moles o Trophoblastic tumors of the implantation site (TTSI) Diagnosis is based on questioning and clinical examination, while paraclinical tests, especially ultrasound and Beta HCG, establish the diagnosis of hydatidiform mole. However, TTG may require other tests, and histology confirms the diagnosis. Management is based on a protocol codified according to pre-established guidelines. We report a rare case of an unusual presentation of metastatic GTT causing death in a 32 year old woman just one month post partum.