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一例巨大的孕中期早期胎盘绒毛膜血管瘤，伴有孤立性蛋白尿且经组织病理学证实存在胎盘功能不全，一种新的关联：病例报告

A giant early second-trimester placental chorioangioma associated with isolated proteinuria and histopathologically confirmed placental insufficiency, a novel association: A case report.

作者信息

Rahimi-Sharbaf Fatemeh, Ghalandarpoor-Attar Seyedeh Noushin, Moravej-Salehi Farnaz, Ghalandarpoor-Attar Seyedeh Mojgan

机构信息

Obstetrics and Gynecology Department Yas Hospital Tehran University of Medical Sciences Tehran Iran.

Obstetrics and Gynecology Department Baqiyatallah Hospital Baqiyatallah University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2022 Mar 16;10(3):e05605. doi: 10.1002/ccr3.5605. eCollection 2022 Mar.

DOI:10.1002/ccr3.5605
PMID:35317065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8925271/
Abstract

We present a case of giant chorioangioma at 18 weeks of gestation leading to fetal hypertrophic cardiomyopathy without other evidences of fetal volume overload and late-onset isolated proteinuria. Oligohydramnios developed at term and placental insufficiency was confirmed on histopathological examination and a nonanemic nonthrombocytopenic normal weight healthy baby was delivered.

摘要

我们报告一例妊娠18周时的巨大绒毛膜血管瘤病例，该病例导致胎儿肥厚型心肌病，无其他胎儿容量超负荷的证据及迟发性孤立性蛋白尿。足月时出现羊水过少，组织病理学检查证实有胎盘功能不全，随后分娩出一名无贫血、无血小板减少且体重正常的健康婴儿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c01/8925271/e16ecb59fc3d/CCR3-10-e05605-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c01/8925271/d1df19733164/CCR3-10-e05605-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c01/8925271/e16ecb59fc3d/CCR3-10-e05605-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c01/8925271/d1df19733164/CCR3-10-e05605-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c01/8925271/e16ecb59fc3d/CCR3-10-e05605-g003.jpg

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引用本文的文献

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本文引用的文献

1
Placental chorioangioma: an unusual cause of neonatal cardiomyopathy.胎盘绒毛膜血管瘤：新生儿心肌病的一个不常见病因。
BMJ Case Rep. 2021 Oct 8;14(10):e244956. doi: 10.1136/bcr-2021-244956.
2
Placental chorioangioma associated with polyhydramnios and hydrops fetalis.胎盘绒毛膜血管瘤合并羊水过多及胎儿水肿。
BMJ Case Rep. 2019 Jan 29;12(1):e227828. doi: 10.1136/bcr-2018-227828.
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Chorioangioma of Placenta: A Rare Case of Near-Miss Mortality.胎盘绒毛膜血管瘤：一例罕见的近乎死亡的病例。
J Obstet Gynaecol India. 2017 Jun;67(3):224-226. doi: 10.1007/s13224-016-0934-7. Epub 2016 Sep 3.
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Unusual complications of placental chorioangioma: consumption coagulopathy and hypertension in a preterm newborn.胎盘绒毛膜血管瘤的罕见并发症：一名早产新生儿的消耗性凝血病和高血压
BMJ Case Rep. 2016 May 6;2016:bcr2016215734. doi: 10.1136/bcr-2016-215734.
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Serum alpha-fetoprotein in the three trimesters of pregnancy: effects of maternal characteristics and medical history.孕期三个阶段的血清甲胎蛋白：孕妇特征及病史的影响
Ultrasound Obstet Gynecol. 2015 Jul;46(1):34-41. doi: 10.1002/uog.14809. Epub 2015 May 25.
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A rare giant placental chorioangioma with favorable outcome: A case report and review of the literature.一例预后良好的罕见巨大胎盘绒毛膜血管瘤：病例报告及文献复习
J Clin Ultrasound. 2015 May;43(4):254-256. doi: 10.1002/jcu.22187. Epub 2014 Jul 18.
7
Co-occurrence of multifocal chorioangiomatosis and mesenchymal dysplasia in preeclampsia.先兆子痫中多灶性脉络膜血管瘤病与间充质发育异常的共存。
Pediatr Dev Pathol. 2013 May-Jun;16(3):206-9. doi: 10.2350/12-02-1153-CR.1. Epub 2013 Jan 3.
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Nontrophoblastic placental tumors.非滋养层胎盘肿瘤。
Neuro Endocrinol Lett. 2012;33(4):375-9.
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Pregnancy outcomes and ultrasonographic diagnosis in patients with histologically-proven placental chorioangioma.经组织学证实的胎盘绒毛膜血管瘤患者的妊娠结局和超声诊断。
Placenta. 2011 Sep;32(9):671-674. doi: 10.1016/j.placenta.2011.06.007. Epub 2011 Jul 13.
10
Giant placental chorioangioma: natural history and pregnancy outcome.巨大胎盘绒毛膜血管瘤：自然史与妊娠结局。
Ultrasound Obstet Gynecol. 2010 Mar;35(3):332-6. doi: 10.1002/uog.7451.