Nov 20, 2014 placental chorioangioma is the most common type of placental tumor. Pdf a chorioangioma is the most common benign tumor of the placenta. Placental chorioangioma patient case study cincinnati. Jun, 2012 chorioangioma is a benign angioma of placenta arising from chorionic tissue.
Placental chorioangioma diagnosis and management cem yasar sanhal 1, aykan yucel 1 ankara, turkey abstract placental chorioangioma constitutes major importance in perinatology practice, as being the most common type of placental tumors, and having the potential of devastating perinatal outcomes. What is the definition of chorioangioma, placental medical. Prenatal management and perinatal outcome in giant placental. There doctors discovered a placental chorioangioma that was causing excess strain on her baby kaidinns heart and giving rise to polyhydramnios. We report a case of giant chorioangioma with fetal hydrops, additionally complicated by severe anemia, mild cardiomegaly with hyperdinamic. The differential diagnosis of placental tumors includes partial hydatidiform mole, placental hematoma intraplacental or subchorionic, teratoma, metastases, and leiomyoma, 1. Large chorioangiomas are known to cause complications in pregnancy, while the smaller ones are asymptomatic. The placental tissue revealed a fleshy nodular circumscribed lesion which is 10 cm. Typically a chorioangioma is located near the insertion of the cord and protrudes into the amniotic cavity. Chorioangiomas are benign vascular tumors of the placenta. Natural history and pregnancy outcome in patients with placental chorioangioma. Chorioangioma is a benign vascular tumour arising from the primitive chorionic mesenchymal tissue.
Most chorioangiomas are small and are found incidentally at screening obstetric us examinations. The ultrasound appearance of placental chorioangioma is described. Chorioangioma definition of chorioangioma by medical dictionary. Mureena turnquestwells, md, a fetal specialist in mandis hometown of evansville, in, referred her to timothy crombleholme, md, director of the cincinnati fetal center. Though this is the common presentation of placenta chorioangioma. Its a tumor between the placenta and umbilical cord. Download limit exceeded you have exceeded your daily download allowance. Pdf antenatal embolization of a large placental chorioangioma. What is the definition of chorioangioma, placental. Placental chorioangiomas are benign vascular tumors of placental origin. Large chorioangiomas can cause complications, including excess amniotic fluid polyhydramnios, maternal and fetal clotting problems coagulopathies, premature delivery, toxemia, fetal heart failure, and hydrops excess fluid that affect the fetus.
It is the most common tumor of the placenta and is usually found incidentally. Chorioangioma is a benign angioma of placenta arising from chorionic tissue. Small chorioangiomata are clinically insignificant and diagnosed after delivery. She was on regular follow up, at 31 weeks gestation the mass increased to 6. Large chorioangioma has unfavourable effects on both mother and fetus. Chorioangioma is the most common benign placental tumor and frequent incidental finding in antenatal scans. Epidemiology the estimated incidence is at 1% of all pregnancies 3.
Full text placental tumor chorioangioma as a cause of. We describe a case with large chorioangioma that had a poor outcome on the fetus. The largest retrospective study of 22000 placental examinations showed 8 chorioangioma with an incidence of 0. Nutrients pass through the placenta and the attached umbilical cord from the mother to the fetus. Read ultrasound appearances of placental chorioangioma. Chorioangioma of the placenta in association with early severe polyhydramnios and elevated maternal serum hcg. Chorioangioma causes, symptoms, signs, diagnosis, treatment. Chorioangioma of placenta is the most common benign tumor of placenta, with an incidence of approximately 1% of all pregnancies. An important differential is intramuralsubmucosal fibroid, however intraplacental location and internal vascularity with feeding vessel, favor the diagnosis of chorioangioma. It is mostly diagnosed ultrasonically in the second trimester of pregnancy. Atypical chorangioma may be associated with increased cellularity, high mitotic activity, tumor necrosis, positive staining with factor viii antigen and may have large tumor size. On microscopic examination a well circumscribed lesion focally covered by membranes consisting of capillary sized vessels some solid and some with lumina lined by benign endothelial cells immunoreactive with cd31 and cd34 were seen. Placental chorioangioma is a benign tumor made up of too many blood vessels that form in the placenta. The placental mass was a solid nodular tanbrown tissue 6 x 6.
Pdf giant placental chorioangioma ppt perinasia edit. Placenta, placenta variants, chronic intervillositis, placental mesenchymal dysplasia, preeclampsia, diabetic placenta, placental chorioangioma, hydatidiform mole, cord abnormalities, fetal erythroblastosis, placental. It is usually symptomless and may be associated with serious maternal. It however, lacks metastasis, invasion or biological aggressiveness. Large chorioangiomas can cause complications, including excess amniotic fluid polyhydramnios, maternal and fetal clotting problems coagulopathies, premature delivery, toxemia, fetal heart failure, and hydrops excess fluid affecting the fetus. Description download giant placental chorioangioma ppt perinasia edit comments. Chorangiomatosis and chorioangioma are differentiated from chorangiosis histologically by the presence of perivascular cells positive for musclespecific actin and a background of increased stromal collagenization and cellularity in the former two conditions. A chorioangioma is a benign neoplasm of the placenta and consists of a vascular mass arising from chorionic tissue. Europe pmc is an archive of life sciences journal literature. We presented a case of an angiomatous type of placental hemangioma diagnosed in the second trimester of pregnancy in a patient with polyhydramnios. Three histological patterns of chorioangiomas have been described. They were more seen in multiple pregnancies and in female babies. It consists of a benign angioma arising from chorionic tissue.
Prenatal diagnosis and fetomaternal outcomes of two cases. Report giant placental chorioangioma ppt perinasia edit please fill this form, we will try to respond as. Perinatal outcome after prenatal diagnosis of placental chorioangioma. Antenatal embolization of a large placental chorioangioma. It is attached to the uterine wall and establishes connection between the mother and the fetus through the umbilical cord and thus plays a critical.
A benign vascular blood vessel tumor of the placenta. Jul 05, 2016 this feature is not available right now. Chorioangioma of the placenta in association with early. Placental chorioangioma radiology reference article. However, color doppler imaging can demonstrate blood flow within the lesion, a finding that distinguishes chorioangioma from a placental hematoma, 12. Chorioangioma medical definition merriamwebster medical. Placental chorioangioma kohnel 1933 acta obstetricia et. Definition of chorioangioma, placental medicinenet. View the article pdf and any associated supplements and figures for a period of 48 hours. Placenta chorioangioma is the most frequent nontrophoblastic tumor of the placenta. To arrive at the top five similar articles we use a wordweighted algorithm to compare words from the title and abstract of each citation. Pregnancies with large chorioangiomas are associated with maternal and fetal complications, such as growth restriction, cardiomegaly, congestive heart failure, fetal anemia, thrombocytopenia, nonimmune hydrops and intrauterine fetal death. Prenatal diagnosis by ultrasound and mri ghanshyam dev gupta, shaista rashid chorioangioma constitutes the commonest benign growth of placenta. Placental chorioangiomas greater than 4 cm in diameter are rare placental tumors.
Sonographic evaluation of a large placental chorangioma kirstie. Possibility of chorioangioma of placenta was considered. A chorioangioma is the most common benign tumor of the placenta. A 22yearold, primigravida was admitted to the post graduate. Our dallas office has moved to 7777 forest lane, building d, 11th floor, suite 1190. May 15, 2010 we use your linkedin profile and activity data to personalize ads and to show you more relevant ads. Chorioangioma, originally described by clarke in 1798, is the most common tumor of the placenta, with reported prevalence of approximately 0. However, they are known to cause a number of complications which are detrimental to the mother, fetus or the neonate. Placental tumor chorioangioma as a cause of polyhydramnios. It occurs in up to 1% of all deliveries and most often goes unnoticed. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Chorangioma definition of chorangioma by medical dictionary. Placental tumor chorioangioma as a cause of polyhydramnios ncbi.
The placenta is a tissue that is attached to the inner lining of the uterus in pregnancy. The majority of pregnancies with chorioangiomas are asymptomatic. Download giant placental chorioangioma ppt perinasia edit. A large vascular tumor suggestive of chorioangioma after delivery discussion chorioangioma of the placenta is a relatively rare entity which most often goes unnoticed. Chorioangiomas range from microscopic lesions to large masses. Nutrients pass through the placenta and the attached. A chorioangioma haemangioma is a benign tumor of the placenta. Placental chorioangioma is the most common benign tumor of the placenta. A large placental chorioangioma without an adverse perinatal. Download placenta abnormalities download free online book chm pdf. Dedicated to the mission of bringing free or lowcost educational materials and information to the global ultrasound community. Placental chorioangioma is the most common benign nontrophoblastic tumor of the placenta.
I will have to have more ultrasounds to make sure the baby is growing fine. It is usually symptomless and may be associated with serious maternal and fetal complication when it reaches a large size. From the obstetrical department and pathological laboratory of the buffalo childrens and general hospitals and the lnirersity of buffalo medical school w e wish to describe the gross and histologic findings in a case of a chorioangioma of the placenta. Chorangiosis is 10fold commoner than chorioangioma or chorioangiomatosis 4. Chorioangioma in pregnancy miss surabhi bisht, dr ozlem turan, mr demetrios l economides, royal free hospital, london, uk. Placental chorioangioma is the most common type of placental tumor. Background chorioangioma is the most common neoplasm of the placenta. I am 14 weeks along and just had an ultrasound yesterday diagnosing us with a chorioangioma.
1388 939 337 8 221 1428 1170 1211 79 281 1152 689 274 1342 923 1284 1077 1292 1220 840 1046 823 1221 889 669 1552 1075 417 549 1272 290 1273 1175 1058 791 991 1176 1310 123 633 751 1078 1296 1102 947 1369 449 578