Asunto(s)
Preservación de la Fertilidad/métodos , Tratamientos Conservadores del Órgano/métodos , Ovario/cirugía , Útero/cirugía , Adulto , Femenino , Humanos , Imagen por Resonancia Magnética , Radioterapia Adyuvante/métodos , Traquelectomía/métodos , Neoplasias del Cuello Uterino/diagnóstico por imagen , Neoplasias del Cuello Uterino/patología , Neoplasias del Cuello Uterino/terapiaAsunto(s)
Actinomicosis/diagnóstico , Cuello del Útero/patología , Trompas Uterinas/patología , Actinomyces/aislamiento & purificación , Actinomicosis/tratamiento farmacológico , Actinomicosis/patología , Adulto , Ampicilina/administración & dosificación , Antibacterianos/administración & dosificación , Cuello del Útero/diagnóstico por imagen , Diagnóstico Diferencial , Doxiciclina/administración & dosificación , Trompas Uterinas/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Neoplasias Ováricas/diagnóstico , Sulbactam/administración & dosificación , Tomografía Computarizada por Rayos X , Neoplasias del Cuello Uterino/diagnósticoRESUMEN
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.