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Erschienen in: Archives of Gynecology and Obstetrics 1/2017

22.08.2016 | Gynecologic Oncology

Historical, morphological and clinical overview of placental site trophoblastic tumors: from bench to bedside

verfasst von: Giuseppe Santoro, Antonio Simone Laganà, Antonio Micali, Valeria Barresi, Valentina Giacobbe, Vittorio Palmara

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2017

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Abstract

Introduction

Placental site trophoblastic tumor (PSTT) is a form of gestational trophoblastic disease that originates from the implantation of an intermediate trophoblast. It was described for the first time by Von F. Marchand in 1895 as belonging to chorioepithelioma sui generis, a pathological condition with many variations and a progressive degree of malignancy.

Methods

We have conducted a literature review in MEDLINE about epidemiology, etiopathogenesis and clinical features of PSTT. Moreover, a case that occurred in our institution was reported.

Results

Our research has highlighted that existing published data about PSTT are not uniform. The number of cases described in the literature has updated and the clinical features of selected “case series” of patients diagnosed with PSTT were showed. The etiopathogenesis was discussed. It was noted that current prognostic factors still allow important information regarding PSTT to be obtained, albeit fragmentary.

Conclusions

The lack of uniformity in data collection seen so far has limited full knowledge of PSTT. For this reason, we suggest a model (PSTT model) that collects and unifies PSTT evidence as this would be useful to identify worldwide precise prognostic factors, which are still lacking. When PSTT is diagnosed, the proper procedure seems to be total hysterectomy, with sampling of pelvic lymph nodes and ovarian conservation. For advanced-stage diseases, (stage III and IV) a combination of surgery and polychemotherapy is suggested.
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Metadaten
Titel
Historical, morphological and clinical overview of placental site trophoblastic tumors: from bench to bedside
verfasst von
Giuseppe Santoro
Antonio Simone Laganà
Antonio Micali
Valeria Barresi
Valentina Giacobbe
Vittorio Palmara
Publikationsdatum
22.08.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 1/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-016-4182-y

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