Premium
Placental site trophoblastic tumours and the concept of fertility preservation
Author(s) -
Saso S,
Haddad J,
Ellis P,
Lindsay I,
Sebire NJ,
McIndoe A,
Seckl MJ,
Smith JR
Publication year - 2012
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2011.03230.x
Subject(s) - hysterectomy , medicine , placental site trophoblastic tumor , fertility , dissection (medical) , frozen section procedure , lymph node , fertility preservation , gynecology , surgery , pregnancy , obstetrics , population , fetus , placenta , pathology , environmental health , biology , genetics
Please cite this paper as : Saso S, Haddad J, Ellis P, Lindsay I, Sebire N, McIndoe A, Seckl M, Smith J. Placental site trophoblastic tumours and the concept of fertility preservation. BJOG 2011; DOI: 10.1111/j.1471‐0528.2011.03230.x. The standard management of placental site trophoblastic tumours (PSTTs) is a radical hysterectomy with pelvic lymph node sampling. We present five cases to demonstrate a modified Strassman procedure (MSP), which is an alternative fertility‐sparing technique. Each had a presumed solitary uterine PSTT. Following surgery, one patient remained in remission with her fertility intact. The other four underwent a completion hysterectomy because of incomplete excision of the disease. No residual disease was later found in two of these four uteri. This treatment should only be offered after extensive counselling. We intend to investigate the use of intraoperative frozen section analysis with cold‐knife dissection in future.