Placental Site Trophoblastic Tumour – A Rare Cause of Uncontrollable Post-Operative Hemorrhage in Obstetric Cases


  • Bushra Siddiqui Assistant Professor Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. Author
  • Dipanjan Sinha Junior Resident, Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. Author
  • Shahbaz Habib Faridi Assistant Professor, Department of General Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. Author
  • Mohd. Feroz Alam Assistant Professor, Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. Author



Post- Operative Hemorrhage, Trophoblastic Tumour


Placental site trophoblastic tumour (PSTT) is a rare variant of gestational trophoblastic disease developing from intermediate trophoblasts. PSTTs are incredibly rare tumours with 1 in 100000 pregnancies and only about 200 cases reported till date with mortality reaching up to 25% in undiagnosed cases. We present the case of a 37year old female, gravida 4 para 3, presenting with uncontrollable post caesarean haemorrhage for which she underwent subtotal hysterectomy. Histopathological examination revealed Placental site trophoblastic tumour. Placental site trophoblastic tumour, being a rare entity, pose difficulties in its early diagnosis. Delayed diagnosis can lead to distant metastases, thus worsening the prognosis.


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