Placental site trophoblastic tumor (PSTT) is a very rare type of gestational trophoblastic neoplasm that originates from the placental implantation site. They occur mainly in women who have a history of abortion, ectopic pregnancy, or molar pregnancy. Here, we report a case of PSTT in a 35-year-old P6L6 female who presented with complaints of continuous bleeding per vagina and spotting for 8 months and underwent three times dilatation and evacuation for retained products of conception. The patient underwent exploratory laparotomy but the patient still had a history of pain abdomen and bleeding per vagina. On biochemical evaluation, the patient had raised beta-hCG levels. Contrast-enhanced computed tomography scan (CECT) lower abdomen revealed bulky uterus and heterogeneous hemorrhagic areas in the endometrium with right tube ovarian mass. Endometrial biopsy was done which showed retained gestational tissue and no chorionic villi. Then patient underwent a total abdominal hysterectomy with bilateral salpingectomy. The final diagnosis of PSTT was made on the basis of the clinical picture and morphological features.
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