Subject(s)
Fertility Preservation/methods , Organ Sparing Treatments/methods , Ovary/surgery , Uterus/surgery , Adult , Female , Humans , Magnetic Resonance Imaging , Radiotherapy, Adjuvant/methods , Trachelectomy/methods , Uterine Cervical Neoplasms/diagnostic imaging , Uterine Cervical Neoplasms/pathology , Uterine Cervical Neoplasms/therapySubject(s)
Actinomycosis/diagnosis , Cervix Uteri/pathology , Fallopian Tubes/pathology , Actinomyces/isolation & purification , Actinomycosis/drug therapy , Actinomycosis/pathology , Adult , Ampicillin/administration & dosage , Anti-Bacterial Agents/administration & dosage , Cervix Uteri/diagnostic imaging , Diagnosis, Differential , Doxycycline/administration & dosage , Fallopian Tubes/diagnostic imaging , Female , Humans , Magnetic Resonance Imaging , Ovarian Neoplasms/diagnosis , Sulbactam/administration & dosage , Tomography, X-Ray Computed , Uterine Cervical Neoplasms/diagnosisABSTRACT
A case study of a 38-year-old woman with a diagnosis of placental site trophoblastic tumor is presented. The patient had a 22-month history of amenorrhea since her last pregnancy, and a dilation and curettage procedure was performed after a 3.1×2.4×2.8 cm endometrial echogenic lesion was visualized on a pelvic ultrasound. When the diagnosis of placental site trophoblastic tumor was made by histopathologic and immunohistochemical analysis, complementary examinations including including pelvic magnetic resonance imaging (MRI) and a chest computed tomography (CT) were done. There was no evidence of disease outside the uterus, and a laparoscopic hysterectomy with bilateral salpingectomy was performed. After a surveillance period of 12 months, no disease recurrence was identified. Best imaging studies, treatment options, and proper surveillance for these type of tumors are discussed alongside the case study.