Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature

We present an unusual case of a 28-year-old female who had atypical trophoblastic proliferation on her endocervical curettage (ECC) performed at the time of a colposcopy. The indication for colposcopy was a Pap smear notable for atypical squamous cells of unknown significance, positive HPV. Initiall...

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Main Authors: Allison L. Brodsky, Marianne Hom-Tedla, Oluwole Fadare, Michael T. McHale
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578922000741
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author Allison L. Brodsky
Marianne Hom-Tedla
Oluwole Fadare
Michael T. McHale
author_facet Allison L. Brodsky
Marianne Hom-Tedla
Oluwole Fadare
Michael T. McHale
author_sort Allison L. Brodsky
collection DOAJ
description We present an unusual case of a 28-year-old female who had atypical trophoblastic proliferation on her endocervical curettage (ECC) performed at the time of a colposcopy. The indication for colposcopy was a Pap smear notable for atypical squamous cells of unknown significance, positive HPV. Initially conservative management was pursued, but given persistent atypia the patient ultimately decided to proceed with definitive management via hysterectomy. Final histologic assessment demonstrated an epithelioid trophoblastic tumor (ETT). This case highlights the unusual scenario of ETT presenting as atypical trophoblastic cells on endocervical curettage and the possible evolution of an atypical placental site nodule into an ETT.
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spelling doaj.art-98ae77bed89b4780a5af57163d1060032022-12-22T02:25:43ZengElsevierGynecologic Oncology Reports2352-57892022-06-0141100994Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literatureAllison L. Brodsky0Marianne Hom-Tedla1Oluwole Fadare2Michael T. McHale3University of California San Diego, Department of Gynecologic Oncology, San Diego, CA, USA; Corresponding author.at: 9280 Towne Center Drive, Unit 52, San Diego, CA 92121, 610-306-1544.University of California San Diego, Department of Gynecologic Oncology, San Diego, CA, USAUniversity of California San Diego, Department of Pathology, San Diego, CA, USAUniversity of California San Diego, Department of Gynecologic Oncology, San Diego, CA, USAWe present an unusual case of a 28-year-old female who had atypical trophoblastic proliferation on her endocervical curettage (ECC) performed at the time of a colposcopy. The indication for colposcopy was a Pap smear notable for atypical squamous cells of unknown significance, positive HPV. Initially conservative management was pursued, but given persistent atypia the patient ultimately decided to proceed with definitive management via hysterectomy. Final histologic assessment demonstrated an epithelioid trophoblastic tumor (ETT). This case highlights the unusual scenario of ETT presenting as atypical trophoblastic cells on endocervical curettage and the possible evolution of an atypical placental site nodule into an ETT.http://www.sciencedirect.com/science/article/pii/S2352578922000741Gestational trophoblastic neoplasiaEpithelial trophoblastic tumor
spellingShingle Allison L. Brodsky
Marianne Hom-Tedla
Oluwole Fadare
Michael T. McHale
Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
Gynecologic Oncology Reports
Gestational trophoblastic neoplasia
Epithelial trophoblastic tumor
title Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
title_full Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
title_fullStr Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
title_full_unstemmed Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
title_short Persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic Tumor: A case report and review of the literature
title_sort persistent trophoblastic atypia on endocervical curettage found to be an epithelioid trophoblastic tumor a case report and review of the literature
topic Gestational trophoblastic neoplasia
Epithelial trophoblastic tumor
url http://www.sciencedirect.com/science/article/pii/S2352578922000741
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