PLACENTAL SITE TROPHOBLASTIC TUMOR (PSTT) INITIALLY MISDIAGNOSED AS CERVICAL-CARCINOMA

The placental site trophoblastic tumor (PSTT) is the rarest form of tr ophoblastic disease and shows a wide spectrum of symptoms. A 32-year-o ld women is presented with PSTT after abruptio in the 7th week of gest ation which was initially misdiagnosed as cervical carcinoma on cervic al punch biopsy. Therefore, a radical Wertheim-Held hysterectomy was d one. The uterus showed a small tumor restricted to the cavum with no c ervical infiltration, resembling in all histologic and immunohistochem ical features a PSTT. The pelvic lymph nodes showed no metastases. The re was no nephrotic syndrome. The patient showed no evidence of diseas e fourteen months after hysterectomy.