Document Detail


Epithelioid trophoblastic tumour: a case report and review of the literature.
MedLine Citation:
PMID:  17142572     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Epithelioid trophoblastic tumour (ETT) is an unusual type of trophoblastic tumour, which can cause difficulties in diagnosis and (as a consequence) in treatment. The literature suggests that surgery should be the treatment of choice for ETT as it is not responsive to chemotherapeutic agents, used in the treatment of other types of gestational trophoblastic diseases. This case report describes an ETT, which was initially diagnosed as a carcinoma of the cervix. Surgical management was chosen based on the literature. 6 months later the patient also developed a plasmacytoma and was treated with radiotherapy. The occurrence of ETT and plasmacytoma in combination has never been described before. This case report describes a rare case of an atypical trophoblastic tumour, with problematic differential diagnosis. Treatment of carcinoma of the cervix would have necessitated postoperative radiotherapy, but on diagnosis of ETT, surgical management was considered sufficient. Hence, it is important to consider the occurrence of ETTs, although rare, in patients with atypical cervical or endometrial cancer, and in patients diagnosed with a gestational trophoblastic tumour, who do not respond to appropriate chemotherapy.
Authors:
P M L H Vencken; P C Ewing; R P Zweemer
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of clinical pathology     Volume:  59     ISSN:  0021-9746     ISO Abbreviation:  J. Clin. Pathol.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-04     Completed Date:  2007-03-07     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  0376601     Medline TA:  J Clin Pathol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1307-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands. p.vencken@erasmusmc.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Female
Humans
Neoplasms, Second Primary / pathology
Plasmacytoma / pathology
Trophoblastic Neoplasms / pathology*
Uterine Cervical Neoplasms / pathology
Uterine Neoplasms / pathology*
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