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Revista Colombiana de Obstetricia y Ginecología
Print version ISSN 0034-7434On-line version ISSN 2463-0225
Abstract
CONTRERAS-VILLAMIZAR, Kateir Mariel et al. Placental site tumour associated with IgA nephropathy as paraneoplastic manifestation: case report. Rev Colomb Obstet Ginecol [online]. 2018, vol.69, n.4, pp.303-310. ISSN 0034-7434. https://doi.org/10.18597/rcog.3132.
Objective:
To report the case of a placental site tumour which presented clinically in the form of a nephrotic syndrome secondary to IgA nephropathy.
Case presentation:
A 24-year-old woman, primigravida, referred to a Level IV complexity institution in Bogotá (Colombia), where she was diagnosed with IgA nephropathy as a paraneoplastic manifestation of a placental site trophoblastic tumour. After total hysterectomy as treatment, the patient evolved well, with oedema resolution and a drop in proteinuria. The patient completed one year of medical follow-up, with no evidence of disease.
Discussion:
Placental site trophoblastic tumour is rare, is part of the differential diagnosis for gestational trophoblastic disease and may present as a renal paraneoplastic manifestation which usually resolves once the tumour is treated. IgA nephropathy may be secondary to chronic inflammatory diseases and neoplastic diseases, as in this case.
Keywords : IgA glomerulonephritis; nephrotic syndrome; placental site trophoblastic tumour..