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Giant Placental Chorangioma: A Rare Case Report

机译:巨胎盘性胆管瘤:罕见病例报告

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Chorangioma is a nontrophoblastic benign vascular tumour of the placenta, arising from the primitive chorionic mesenchyme. The clinical significance is related to the size of the tumours. Small chorangiomas, with a frequency of about 1%, are often asymptomatic. On the contrary, giant chorangiomas, greater than 5 cm in diameter, are rare tumours, with prevalence ranging from 1:9,000 to 1:50,000, and often associated with a variety of pregnancy complications and a poor perinatal outcome. We report a case of 26-year-old female who presented to us at 36 weeks of gestation with pain in the lower abdomen. Ultrasonograpy revealed polyhydramnios and a vascular tumour on the surface of placenta. Proper conservative antenatal management was done and a full term healthy baby was delievered. Histopathological examination of the extracted mass confirmed the diagnosis of chorangioma. The novelty of this report lies in the presence of large nontrophoblastic vascular placental tumour and the absence of any fetal complications. We emphasise the need of regular and timely antenatal management to diagnose and treat the complications of chorangioma at an early stage.
机译:绒毛膜瘤是胎盘的一种非滋养细胞良性血管肿瘤,由原始绒毛膜间质引起。临床意义与肿瘤的大小有关。频率约为1%的小胆管瘤通常是无症状的。相反,直径大于5厘米的巨大胆管瘤是罕见的肿瘤,患病率从1:9,000至1:50,000,通常与各种妊娠并发症和围产期预后不良有关。我们报告了一例26岁的女性,该女性在妊娠36周时出现小腹疼痛。超声检查发现羊水过少和胎盘表面血管瘤。进行了适当的保守产前管理,并保证了一个足月健康的婴儿。提取物的组织病理学检查证实了胆管瘤的诊断。该报告的新颖之处在于存在大的非滋养层血管胎盘肿瘤,并且没有任何胎儿并发症。我们强调需要定期和及时的产前管理,以早期诊断和治疗胆管瘤的并发症。

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