Horn L C, Robel R, Mehraein Y, Bilek K, Faber R
Universitäts-Frauenklinik, Leipzig.
Pathologe. 1994 Aug;15(4):231-4. doi: 10.1007/s002920050050.
A pregnancy with a partial or complete hydatidiform mole and a coexistent living fetus is a rare condition. Most cases are consistent with a twin pregnancy, with distinct borders between placenta and mole on sonography. We report a case with a single placenta with cystic structures resembling histologically a complete hydatidiform mole. The pregnancy resulted in a diploid female fetus in the 34th week of gestation with marked hypotrophy. The non-molar part of the placenta showed a complex alteration of villous maturity resulting in intrauterine growth retardation but a living fetus. No malignancy occurred post partum. The clinical and pathogenetic aspects of this rare entity are discussed.
部分性或完全性葡萄胎与并存的活胎妊娠是一种罕见情况。大多数病例符合双胎妊娠，超声检查显示胎盘与葡萄胎之间有明显边界。我们报告一例单胎盘病例，其囊性结构在组织学上类似于完全性葡萄胎。该妊娠在妊娠34周时娩出一个二倍体女胎，有明显发育迟缓。胎盘的非葡萄胎部分显示绒毛成熟度复杂改变，导致宫内生长受限，但胎儿存活。产后未发生恶变。本文讨论了这一罕见实体的临床和发病机制方面。
