Lampe S, Butterwegge M, Krech R H
Frauenklinik, Städtischen Kliniken Osnabrück.
Zentralbl Gynakol. 1995;117(2):101-4.
Chorioangiomas are the most common benign tumors of the placenta. The pathologist is able to recognize these tumors in 1% of all examined specimens, but 80% of them are small and of no clinical significance. The larger chorioangiomas are very rare and often associated with complications such as placental abruption, fetal anemia, premature labor and preterm delivery. Early diagnosis of such a large placental tumor is necessary for the obstetrician to adjust the management of pregnancy to reduce fetal and maternal mortality and morbidity. We present a case of multiple placental chorioangiomas, in which the largest was 8 cm in diameter, detected in the 33rd week of pregnancy and associated with polyhydramnion and fetal anemia because of fetomaternal transfusion. Early diagnosis and well-timed delivery avoided severe complications for mother and neonate.
绒毛膜血管瘤是胎盘最常见的良性肿瘤。病理学家在所有检查的标本中能识别出1%的此类肿瘤，但其中80%体积较小，无临床意义。较大的绒毛膜血管瘤非常罕见，常伴有胎盘早剥、胎儿贫血、早产和早产等并发症。产科医生必须尽早诊断出这种较大的胎盘肿瘤，以便调整妊娠管理方案，降低胎儿和产妇的死亡率及发病率。我们报告一例多发性胎盘绒毛膜血管瘤病例，其中最大的直径达8厘米，在妊娠33周时被发现，因母胎输血导致羊水过多和胎儿贫血。早期诊断和适时分娩避免了母亲和新生儿出现严重并发症。
