Рlacental chorioangiomas: diagnosis and management

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Abstract

Four cases of pregnancies with nontrophoblastic placental tumor – chorioangioma are presented in this article. Clinical symptoms depend on tumors size, vascularisation and histological types (angiomatoid, cellular and degenerative). Small tumors with poor vascularisation are essentially asymptomatic. Large ones can act as peripheral arteriovenosus shunts resulting in fetal functional disorders (polycythemia, hypervolemia, ventriculomegaly) associated with acute polyhydramnion, premature labor, maternal and neonatal complications. The role of ultrasound and color Doppler examinations, invasive procedures (amniocentesis) in the diagnosis of chorioangioma and management of such pregnancies are discussed.

About the authors

Elizaveta V. Shelaeva

FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”

Author for correspondence.
Email: eshelaeva@yandex.ru

senior scientific researcher of ultrasound department

Russian Federation, 3, Mendeleevskaya line, Saint Petersburg, 199034

Victoria S. Prokhorova

FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”

Email: viprokhorova@yandex.ru

head of ultrasound department

Russian Federation, 3, Mendeleevskaya line, Saint Petersburg, 199034

Stanislava V. Nagorneva

FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”

Email: stanislava_n@bk.ru

physician of ultrasound department

Russian Federation, 3, Mendeleevskaya line, Saint Petersburg, 199034

References

  1. Benirschke K, Kaufman P. Pathology of the Human Placenta: Benign Tumors. NY: Springer-Verlag; 1995.
  2. Fox H. Pathology of the placenta. Philadelphia: Saunders; 1973.
  3. Бойкова Ю.В., Демидов А.Н., Стыгар О.А. Возможности ультразвукового выявления хориоангиом плаценты // Ультразвуковая диагностика в акушерстве, гинекологии и педиатрии. – 2000. – № 4. – С. 279–284. [Bojkova JuV, Demidov AN, Stygar OA. Vozmozhnosti ul’trazvukovogo vyjavlenija horioangiom placenty. Ul’trazvukovaja diagnostika v akusherstve, ginekologii i pediatrii. 2000;(4):279-84. (In Russ.)]
  4. D’Ercole C, Cravello L, Boubli L. Large chorioangioma associated with hydrops fetalis: prenatal diagnosis and management. Fetal Diagn Ther. 1996;11:357-60.
  5. Алексеева Т.Л., Николаев Л.Т., Рябов И.И. Пренатальное ультразвуковое наблюдение хорионангиомы плаценты во II триместре беременности // Эхография. 2002. – № 3. – С. 275–277. [Alekseeva TL, Nikolaev LT, Rjabov II. Prenatal’noe ul’trazvukovoe nabljudenie horionangiomy pla centy vo II trimestre beremennosti. Jehografija. 2002;(3):275-7. (In Russ.)]
  6. Мальков П.Г., Гриневич В.Н., Морозова М.А., и др. Гигантская плацентарная гемангиома (хор ангиома) // Архив патологии. 2009. – № 3. – С. 37–39. [Mal’ kov PG, Grinevich VN, Morozova MA, et al. Gigantskaja placentarnaja gemangioma (horangioma). Arhiv patologii. 2009;(3):37-9. (In Russ.)]
  7. Ибрагимов Р.Р. Случай ультразвуковой диагностики хоринангиомы // Ультразвуковая диагностика в акушерстве, гинекологии и педиатрии. – 2001. – № 2. – С. 139–142. [Ibragimov RR. Sluchaj ul’trazvukovoj diagnostiki horinangiomy. Ul’trazvukovaja diagnostika v akusherstve, ginekologii i pediatrii. 2001;(2):139-42. (In Russ.)]
  8. Taori K, Patil P, Attarde V, et al. Chorioangioma of placenta: Sonographic features. J Clin Ultrasound. 2008;36:113-5. doi: 10.1002/jcu.20366.
  9. Zalel Y, Weisz B, Gamzu R, et al. Chorioangiomas of the placenta: sonographic and Doppler flow characteristics. J Ultrasound Med. 2002;21:909-13.
  10. Kirkpatrick AD, Podberesky DJ, Gray AE, McDermott JH. Placental chorioangioma. Radiographics. 2007;27:1187-90. doi: 10.1148/rg.274065207.
  11. Kriplani A, Abbi M, Banerjee N, et al. Indomethacin therapy in the treatment of polyhydramnios due to placental chorioangioma. J Obstet Gynaecol Res. 2001;27:245-8.
  12. Deren O, Ozyuncu O, Onderoglu LS, Durukan T. Alcohol injection for the intrauterine treatment of chorioangioma in a pregnancy with transfusion resistant fetal anemia: a case report. Fetal Diagn Therap. 2007;22:203-5. doi: 10.1159/000098718.
  13. Escribano D, Galindo A, Arbués J, et al. Prenatal management of placental chorioangioma: value of the middle cerebral artery peak systolic velocity. Fetal Diagn Ther. 2006;21(6):489-93. doi: 10.1159/ 000095659.
  14. Quarello E, Bernard JP, Leroy B, Ville Y. Prenatal laser treatment of a placental chorioangioma. Ultrasound Obstet Gynecol. 2005;25:299-01. doi: 10.1002/uog.1848.
  15. Quintero RA, Reich H, Romero R, et al. In utero endoscopic devascularization of a large chorioangioma. Ultrasound Obstet Gynecol. 1996;8:48-52.
  16. Волков А.Е. Единственная артерия кистозно-измененной пуповины и хорионангиома при синдроме Эдвардса // Ультразвуковая диагностика в акушерстве, гинекологии и педиатрии. 1999. – № 3. – С. 246–249. [Volkov AE. Edinstvennaja arterija kistozno-izmenennoj pupoviny i horionangioma pri sindrome Jedvardsa. Ul’trazvukovaja diagnostika v akusherstve, ginekologii i pediatrii. 1999;(3):246-9. (In Russ.)]
  17. Potter JF, Schoenman M. Metastasis of maternal cancer to the placenta and fetus. Cancer. 1970;25:380-8.
  18. Williams VL, Williams RA. Placental teratoma: Prenatal ultrasonographic diagnosis. J Ultrasound Med. 1994;13:587-9. doi: 10.7863/jum.1994.13.7.587.

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Copyright (c) 2017 Shelaeva E.V., Prokhorova V.S., Nagorneva S.V.

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