Zacharis Konstantinos, Kravvaritis Stavros, Charitos Theodoros, Chrysafopoulou Eleni, Fouka Anastasia
Department of Obstetrics and Gynaecology, General Hospital of Lamia, Lamia, 35131, Greece.
Pan Afr Med J. 2020 Jul 24;36:214. doi: 10.11604/pamj.2020.36.214.21635. eCollection 2020.
Chorioangioma is the most common type of placental tumor. A primigravida woman was noted on routine scan at 21 weeks of gestation to have a placental mass measuring 1.8 x 2.2cm. A detailed ultrasound scan revealed a well circumscribed, hypoechoic lesion protruding into the amniotic cavity; hence a preliminary diagnosis of placental chorioangioma was made and close prenatal surveillance was scheduled. At 34 weeks of gestation, the mass was measuring 6.27 x 5.38cm. The patient experienced reduced fetal movements at 37 weeks gestation. A small-for-gestational age but normal female neonate was delivered by caesarean section. Histopathological analysis of the placenta confirmed the diagnosis. According to our case, a giant placental chorioangioma may have a favorable outcome without any medical intervention.
绒毛膜血管瘤是最常见的胎盘肿瘤类型。一名初产妇在妊娠21周的常规扫描中被发现有一个大小为1.8×2.2厘米的胎盘肿物。详细的超声扫描显示有一个边界清晰、低回声的病变突入羊膜腔；因此初步诊断为胎盘绒毛膜血管瘤，并安排了密切的产前监测。在妊娠34周时，肿物大小为6.27×5.38厘米。患者在妊娠37周时胎动减少。通过剖宫产分娩出一名小于胎龄但正常的女婴。胎盘的组织病理学分析证实了诊断。根据我们的病例，巨大胎盘绒毛膜血管瘤在没有任何医学干预的情况下可能有良好的结局。
