Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy

Gestational trophoblastic disease (GTD) is a group of benign and malignant tumors that develop from placental tissue and includes hydatidiform moles and gestational trophoblastic neoplasia (GTN). Invasive molar disease and choriocarcinoma are rare forms of GTN and can arise from any pregnancy event....

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Main Authors: C. Toal, A.A. Garrett, S. Kostadinov, M. Boisen
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235257892100117X
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author C. Toal
A.A. Garrett
S. Kostadinov
M. Boisen
author_facet C. Toal
A.A. Garrett
S. Kostadinov
M. Boisen
author_sort C. Toal
collection DOAJ
description Gestational trophoblastic disease (GTD) is a group of benign and malignant tumors that develop from placental tissue and includes hydatidiform moles and gestational trophoblastic neoplasia (GTN). Invasive molar disease and choriocarcinoma are rare forms of GTN and can arise from any pregnancy event. An interstitial ectopic pregnancy occurs with implantation within the intramural portion of the fallopian tube covered by myometrium. We present two cases of an invasive mole with pathology consistent with choriocarcinoma in situ arising from an interstitial ectopic pregnancies. We review management strategies including a minimally invasive surgical approach. Additionally we present a review of the literature of gestational trophoblastic disease associated with interstitial ectopic pregnancies.
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spelling doaj.art-e2563272bfbe45c48e0558d6ffbbee142022-12-21T21:30:05ZengElsevierGynecologic Oncology Reports2352-57892021-08-0137100813Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancyC. Toal0A.A. Garrett1S. Kostadinov2M. Boisen3Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of UPMC, Pittsburgh, PA, United States; Corresponding author at: Department of Obstetrics and Gynecology, 300 Halket St, Pittsburgh 15213, PA, United States.Department of Gynecologic Oncology, Magee-Womens Hospital of UPMC, Pittsburgh, PA, United StatesDepartment of Pathology, Magee-Womens Hospital of UPMC, Pittsburgh, PA, United StatesDepartment of Gynecologic Oncology, Magee-Womens Hospital of UPMC, Pittsburgh, PA, United StatesGestational trophoblastic disease (GTD) is a group of benign and malignant tumors that develop from placental tissue and includes hydatidiform moles and gestational trophoblastic neoplasia (GTN). Invasive molar disease and choriocarcinoma are rare forms of GTN and can arise from any pregnancy event. An interstitial ectopic pregnancy occurs with implantation within the intramural portion of the fallopian tube covered by myometrium. We present two cases of an invasive mole with pathology consistent with choriocarcinoma in situ arising from an interstitial ectopic pregnancies. We review management strategies including a minimally invasive surgical approach. Additionally we present a review of the literature of gestational trophoblastic disease associated with interstitial ectopic pregnancies.http://www.sciencedirect.com/science/article/pii/S235257892100117XGestational trophoblastic diseaseMinimally invasive gynecologic surgery
spellingShingle C. Toal
A.A. Garrett
S. Kostadinov
M. Boisen
Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
Gynecologic Oncology Reports
Gestational trophoblastic disease
Minimally invasive gynecologic surgery
title Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
title_full Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
title_fullStr Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
title_full_unstemmed Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
title_short Gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
title_sort gestational trophoblastic neoplasia presenting as an interstitial ectopic pregnancy
topic Gestational trophoblastic disease
Minimally invasive gynecologic surgery
url http://www.sciencedirect.com/science/article/pii/S235257892100117X
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AT aagarrett gestationaltrophoblasticneoplasiapresentingasaninterstitialectopicpregnancy
AT skostadinov gestationaltrophoblasticneoplasiapresentingasaninterstitialectopicpregnancy
AT mboisen gestationaltrophoblasticneoplasiapresentingasaninterstitialectopicpregnancy