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Placental site trophoblastic tumor (PSTT) a rare variety of gestational trophobalstic neoplasia described in younger women, usually following term delivery characterized by low serum s hCG level was met in a 32 year old lactating mother, who resumed normal menstruation after three months of cesarean section up to three cycles followed by amenorrhea for eight months; evacuation for presumed missed abortion prompted the diagnosis of PSTT which at the time of hysterectomy was found invading perimetrium and perforating the uterine cesarean scar. Conclusion:  Careful evaluation of lactational amenorrhea is indicated so that the diagnosis of PSST may not be missed in the background of elusive picture such as missed abortion with low serum s hCG, histological examination of the evacuated material may be relied which may provide the diagnosis at times. Key words:  Placental site trophoblastic tumour (PSTT), hysterectomy, low serum s hCG

Placental site trophoblastic tumor with perimetrial invasion and cesarean scar perforation (A case report)