PDF(Pubmed)
Abstract：
Placental trophoblastic site tumor (PSTT) is a rare type of gestational trophoblastic neoplasia (GTN). PSTT has a higher mortality than other types of gestational trophoblastic disease (GTD), with a rate of 16.1%, due to its relatively unpredictable behavior and reduced response to chemotherapy. Its diagnostic and management are very challenging in Low resources settings particularity in Haiti where MRI, PET Scan and IHC are not available. Further, the follow-up is very difficult because of social, political, and economic issues limiting the capacity of our patients to be present at all scheduled visits. No case of PSTT has been publicly described yet the Haitian experience in the literature in the management of such case compared to the developed world. We present a case of PSTT successfully diagnosed and managed at Mirebalais University Hospital (MUH) in Haiti with the support of telepathology and intentional partners while highlighting the difference that we observed compare to the developed world.
摘要：
胎盘滋养细胞部位肿瘤（PSTT）是一种罕见的妊娠滋养细胞肿瘤（GTN）。PSTT的死亡率高于其他类型的妊娠滋养细胞疾病（GTD），率为16.1%，由于其相对不可预测的行为和对化疗的反应降低。它的诊断和管理在海地低资源环境的特殊性中非常具有挑战性，PET扫描和IHC不可用。Further,由于社会原因，后续行动非常困难，政治,和经济问题限制了我们患者在所有预定就诊中的能力。与发达国家相比，海地在处理此类案件方面的文献经验尚未公开描述过PSTT的案件。在心灵感应学和有意合作伙伴的支持下，我们在海地Mirebalais大学医院（MUH）成功诊断和管理了一例PSTT，同时强调了我们观察到的与发达国家相比的差异。
