Exaggerated placental site erroneously diagnosed as non-metastatic trophoblastic disease. A case report.
BACKGROUND
Exaggerated placental site (EPS) is classified as a non-neoplastic trophoblastic lesion, and histologically it consists of endometrial and myometrial invasion of intermediate trophoblasts and syncytiotrophoblasts and it differs morphologically from placental site trophoblastic tumors and placental nodules. The purpose of this report is to increase physicians' awareness of this lesion.


METHODS
A 48-year-old woman with post-molar rising betahCG titers and a clinical diagnosis of non-metastatic trophoblastic disease underwent hysterectomy. Final histopathology showed exaggerated placental site--a lesion often unfamiliar to clinicians.


CONCLUSIONS
It is suggested that operative hysteroscopy may be useful in the diagnosis and management of EPS.
Menczer
J
J
Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon and Sackler Faculty of Medicine, Tel Aviv University, Israel.
Livoff
A
A
Malinger
G
G
Girtler
O
O
Zakut
H
H
D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis; D008875:Middle Aged; D011247:Pregnancy; D018245:Trophoblastic Tumor, Placental Site / Q000175:diagnosis* / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery