Atypical Placental Site Nodule?

Shot in the dark here as this seems to be quite rare. Been told I have an atypical placental site nodule (found on a pre op scan for prolapse repair that endometrium was too thick). Hysterscopy and biospy have come back saying I have this. Consultant says not to worry, but he's only seen this once in ten years and results / slides have been sent to a specialist.

 

has anyone any information on this? It's so few and far between. I've found a handful of papers and it seems that this could become a tumor 

  • I was just reading back on this whole thread. Someone mentioned that they had retained placenta. I too had this issue! Just wanted to document it here for anyone else reading this thread. Maybe it was the retained placenta that caused this and not ivf meds? I had a 2nd trimester loss due to trisomy 21. After the miscarriage my placenta was retained so they had to remove it manually in theatre. They didn't get it all out!  I learned this as i had 3 failed embryo transfers which led to a hysteroscopy for investigation. Fragments of the retained placenta were then found. They said these fragments were preventing a successful implantation. They removed the fragments but also sent me for a D&C just to make sure they got it all out. It was then that the Nodule was found. It was found very coincidentally.  The Nodule was then sent for testing and came back as ASPN. Just said I would document this info here this seen as this is so rare.

  • My placenta ruptured together with too much blood loss and uterus split. I asked this very question, could it be placenta was retained and I was told no because left over placenta tissue would normal just die off but you now saying about part of the placenta being retained makes more sense given mine ruptured. The consultant team didn’t have many answers as it’s so rare. Be interesting to know how many people in UK have had this very issue and whether it is linked to IVF or ruptured placenta or just one of those rare things. 

  • My placental tissue remained inside with absolutely no symptoms whatsoever (bar not being able to get pregnant again!) Once they removed everything i got pregnant straightaway. Yes because yours ruptured you would definately wonder could fragments of placenta have been left behind! Very possible. I would logically wonder the same.. I'm surprised they're not trying to "study us" more and investigate the common links between all of our stories are seen as this is so rare 

  • I had my placenta “surgically removed in theatre” after it was stuck and I haemorrhaged very badly (3litres!) and yet somehow 4 years down the line with the most horrific periods and pain, I was found to have an ASPN, I’m now 28 with a full hysterectomy (bar ovaries luckily!) I was also surprised that they didn’t want to study more into it and was shocked that as soon as I had my hysterectomy I was discharged and never contacted again! From being contacted once a week to nothing is very strange. It’s all very surreal as it happened so fast! From diagnosis to hysterectomy was around 10 weeks. I’m now 10 weeks post op :) 

  • When I asked if there are any links with IVF they said they’ve never looked into it but perhaps they should going forward. I feel we can’t be the minority and have so little woman with this. I do think a lot is passed off as menopause symptoms or just the way your body is and alot just carry on without investigation. Those who don’t get symptoms - how many woman are actually out there with APSN. 

  • Offline in reply to MH95

    I also had horrendous periods 24/7 and heavy. Pill and depo masked it but nurse encouraged I be on them to control the bleeding. So despite my traumatic birth I feel I was fobbed off. I have copies of my GP notes and I am going to write a letter when I’m ready to do because i feel now that nurse should have referred me to the GP. Hysteractomy would have been treatment for me but it would have saved years of pain. 

  • I’ve never had ivf I’ve had four natural pregnancies and they have told me that placenta remained from my last and she will be four in July my APSN was found having a endo biopsy due to the heavy bleeding and spotting and very regular periods thinking I may have had endometriosis 

  • Is everyone on this thread from the UK? I'm in Ireland. I asked the doctor how many people in the whole of Ireland have this and he said 9! There must be many more..They should definately be studying us and asking questions. The doctor in theatre who was removing my retained placenta said it was a blind procedure, no camera used but reassured me it was very straight forward.. I was worried about this at the time. Now I'm wondering if they used camera wouldnt this have stopped any fragments of placenta being left behind if they could actually see what they were doing. I was also told today by the nurse that last weekend they had a big conference in London with all the top specialists working in this field, they were hoping to have some updated info & data.. But nothing. Very strange no questions are being asked to us considering how rare this is

  • Hi ladies really need some advice I've joined the FB group I'm hoping I can reach out to one of you regarding apsn xx

  • Hi there , hope you're doing ok. I'm online right now if you'd like to talk.