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Adnan WFW, Ismail EHE, Azmi AS, Zin AAM, Elisabeth AM. Large placental chorioangioma with maternal and perinatal morbidity. Eur J Obstet Gynecol Reprod Biol 2024; 300:351-354. [PMID: 39152085 DOI: 10.1016/j.ejogrb.2024.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2024] [Accepted: 08/05/2024] [Indexed: 08/19/2024]
Abstract
INTRODUCTION Placental chorioangioma is a benign placenta tumour. Majority of cases, the placental chorioangioma are small and no maternal and fetal complications. We highlight a case diagnosed with large placental chorioangioma with an intrapartum event associated with significant maternal and perinatal morbidity. METHOD A 38-year-old woman, Gravida 3 Para 1, with one previous miscarriage, presented with preterm labour at 33 weeks gestation. Antenatally, she was referred to a feto-maternal specialist for finding a placental tumour size 12 × 10 cm. Features are consistent with placental chorioangioma with polyhydramnios. The anomaly scan was normal. Antenatal fetal surveillance with Doppler studies were normal. RESULTS During this admission, corticosteroid was given together with a tocolytic agent and opioid analgesia. Unfortunately, the labour progressed, and the patient felt reduced in fetal movement. The cardiotograph showed suspicious tracing. We proceed with emergency caesarean delivery. The placenta was sent for histopathology assessment which confirmed a large placental chorioangioma. The baby was born with Apgar's score of 9 at 1 min, pH of 7.28 and lactate of 7.28 with anaemia and thrombocytopenia. The uterus developed intermittent uterine atony, and the uterotonic agent was given. She recovered well post-delivery. The baby was admitted to the neonatal intensive care unit (NICU) and received a blood product transfusion and discharged from NICU on day 15 of life. DISCUSSION Large placental chorioangioma is associated with polyhydramnios, preterm labour, postpartum haemorrhage, fetal anaemia, fetal distress, fetal hydrops and possible perinatal death. Multidisciplinary team involvement with feto-maternal specialists, anaesthetic and neonatologists would improve the outcome of both mother and fetus.
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Affiliation(s)
- W Fadhlina W Adnan
- Department of Obstetrics and Gynecology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
| | - Engku Husna Engku Ismail
- Department of Obstetrics and Gynecology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Atikah Su Azmi
- Department of Obstetrics and Gynecology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Anani Aila Mat Zin
- Department of Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Alexandra Maria Elisabeth
- Department of Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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Tonni G, Lituania M, Cecchi A, Carboni E, Grisolia G, Bonasoni MP, Rizzo G, Ruano R, Araujo Júnior E, Werner H, Sepulveda W. Placental and umbilical cord anomalies detected by ultrasound as clinical risk factors of adverse perinatal outcome: Case series review of selected conditions. Part 1: Placental abnormalities. JOURNAL OF CLINICAL ULTRASOUND : JCU 2024. [PMID: 39165051 DOI: 10.1002/jcu.23773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 07/16/2024] [Accepted: 07/18/2024] [Indexed: 08/22/2024]
Abstract
BACKGROUND The aim of this extended review of multicenter case series is to describe the prenatal ultrasound features and pathogenetic mechanisms underlying placental and umbilical cord anomalies and their relationship with adverse perinatal outcome. From an educational point of view, the case series has been divided in three parts; Part 1 is dedicated to placental abnormalities. METHODS Multicenter case series of women undergoing routine and extended prenatal ultrasound and perinatal obstetric care. RESULTS Prenatal ultrasound findings, perinatal care, and pathology documentation in cases of placental pathology are presented. CONCLUSIONS Our case series review and that of the medical literature confirms the ethiopathogenetic role and involvement of placenta abnormalities in a wide variety of obstetrics diseases that may jeopardize the fetal well-being. Some of these specific pathologies are strongly associated with a high risk of poor perinatal outcome.
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Affiliation(s)
- Gabriele Tonni
- Department of Obstetrics and Neonatology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia, Reggio Emilia, Italy
| | - Mario Lituania
- Preconceptional and Prenatal Pathophysiology, Department of Obstetrics and Gynecology, E.O. Ospedali Galliera, Genoa, Italy
| | - Alessandro Cecchi
- Department of Obstetrics and Gynecology, Regional Prenatal Diagnostic 2 Level Center, ASUR, Loreto Hospital, Loreto, Italy
| | - Elisa Carboni
- Department of Obstetrics and Gynecology, Regional Prenatal Diagnostic 2 Level Center, ASUR, Loreto Hospital, Loreto, Italy
| | - Gianpaolo Grisolia
- Department of Obstetrics and Gynecology, Carlo Poma Hospital, AST, Mantova, Mantua, Italy
| | - Maria Paola Bonasoni
- Department of Pathology, Santa Maria Nuova Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia, Reggio Emilia, Italy
| | - Giuseppe Rizzo
- Department of Maternal and Child Health, Urological Sciences, Policlinc Hospital Umberto I, University "La Sapienza", Rome, Italy
| | - Rodrigo Ruano
- Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, Florida, USA
| | - Edward Araujo Júnior
- Department of Obstetrics, Paulista School of Medicine-Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil
| | - Heron Werner
- Department of Fetal Medicine, Biodesign Laboratory DASA/PUC, Rio de Janeiro, Brazil
| | - Waldo Sepulveda
- FETALMED-Maternal-Fetal Diagnostic Center, Fetal Imaging Unit, Santiago, Chile
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Morvan A, Soussan J, Chaumoître K, D'Ercole C, Castel P. Ultrasound and X-ray guided prenatal embolization of massive chorioangioma. J Gynecol Obstet Hum Reprod 2024; 53:102776. [PMID: 38521408 DOI: 10.1016/j.jogoh.2024.102776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 03/20/2024] [Accepted: 03/20/2024] [Indexed: 03/25/2024]
Affiliation(s)
- Aurélie Morvan
- Department of Obstetrics and Gynaecology, University Hospital, Brest, France; Aix Marseille Univ, APHM, CHU Nord, Obstetrics and Gynecology Unit, Marseille, France
| | - Jérôme Soussan
- Department of Radiology, Aix Marseille Univ, APHM, CHU Nord, Marseille, France
| | - Kathia Chaumoître
- Department of Radiology, Aix Marseille Univ, APHM, CHU Nord, Marseille, France; UMR 7268 ADES Anthropologie droit éthique et santé, Aix Marseille université, CNRS, EFS, Marseille, France
| | - Claude D'Ercole
- Aix Marseille Univ, APHM, CHU Nord, Obstetrics and Gynecology Unit, Marseille, France; CEReSS, Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
| | - Pierre Castel
- Aix Marseille Univ, APHM, CHU Nord, Obstetrics and Gynecology Unit, Marseille, France; INMED, INSERM U1249, Marseille, France.
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Wu PT, Huang KL, Tsai CC, Cheng HH, Lai YJ, Hsu TY. A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report. BMC Pregnancy Childbirth 2024; 24:213. [PMID: 38509456 PMCID: PMC10956381 DOI: 10.1186/s12884-024-06391-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 03/04/2024] [Indexed: 03/22/2024] Open
Abstract
BACKGROUND Ritodrine hydrochloride is a widely used beta-adrenergic agonist used to stop preterm labor in Taiwan. Many side effects causing maternal morbidity and mortality have been reported. We report a case complicated with ritodrine-induced side effects and mirror syndrome that was associated with placental chorioangioma. CASE PRESENTATION A 36-year-old singleton pregnant woman at 25 6/7 weeks of gestation, with an undiagnosed placental chorioangioma, underwent tocolysis due to preterm uterine contractions. Her clinical condition deteriorated, attributed to mirror syndrome and adverse events induced by ritodrine. An emergency cesarean section was performed at 27 1/7 weeks of gestation, delivering an infant with generalized subcutaneous edema. A placental tumor measuring 8.5 cm was discovered during the operation, and pathology confirmed chorioangioma. Gradual improvement in her symptoms and laboratory data was observed during the postpartum period. Identifying mirror syndrome and ritodrine-induced side effects poses challenges. Therefore, this case is educational and warrants discussion. CONCLUSION Our case demonstrates mirror syndrome induced by chorioangioma, which is rare, and ritodrine-induced side effects. The cessation of intravenous ritodrine and delivery are the best methods to treat maternal critical status due to fluid overload.
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Affiliation(s)
- Pei-Tzu Wu
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan
| | - Kun-Long Huang
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan
| | - Ching-Chang Tsai
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan
| | - Hsin-Hsin Cheng
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan
| | - Yun-Ju Lai
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan
| | - Te-Yao Hsu
- Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
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Agarwal N, Papanna R, Bergh EP, Hernandez-Andrade E, Backley S, Salazar A, Johnson A, Espinoza J. Management of large placental chorioangioma: two-port laser approach for fetal intervention. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2023; 62:882-890. [PMID: 37448172 DOI: 10.1002/uog.26307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 06/09/2023] [Accepted: 05/12/2023] [Indexed: 07/15/2023]
Abstract
OBJECTIVES There is a paucity of literature providing evidence-based guidelines for the management of large placental chorioangioma (≥ 4 cm in diameter). The objectives of this study were to compare outcomes between patients managed expectantly and those undergoing in-utero intervention and to describe the different in-utero techniques used for cessation of blood flow to the tumor and the associated outcome. METHODS This was a retrospective cohort study of 34 patients referred for the management of large placental chorioangioma in a single center between January 2011 and December 2022, who were managed expectantly or underwent in-utero intervention. In-utero intervention was performed when the fetus developed any signs of impending compromise, including high combined cardiac output (CCO), worsening polyhydramnios or abnormal fetal Doppler velocimetry findings. Interventions included radiofrequency ablation (RFA), interstitial laser ablation (ILA) and single-port or two-port fetoscopic laser photocoagulation (FLP). Treatment selection was dependent on the proximity of the tumor to the umbilical cord insertion (UCI) and placental location. The two-port technique was performed in patients with a chorioangioma with large feeding vessels (≥ 3 mm) located in the posterior placenta, in which one port was used for occlusion using bipolar forceps and the other port was used for laser photocoagulation of the feeding vessels downstream. The single-port technique was used for chorioangioma with small feeding vessels (< 3 mm) located in the posterior placenta. ILA or RFA was performed in cases with an anterior placenta. Supportive treatments, including amnioreduction and intrauterine transfusion (IUT), were performed for worsening polyhydramnios and suspected fetal anemia based on middle cerebral artery Doppler flow studies, respectively. Comparative statistical analysis between cases undergoing expectant management vs in-utero intervention was performed. Descriptive details were provided for patients who underwent in-utero intervention. RESULTS Thirty-four cases of large chorioangioma were evaluated, of which 25 (73.5%) were managed expectantly and nine (26.5%) underwent intervention. The frequency of polyhydramnios was significantly higher in the intervention group compared with the expectant-management group (66.7% vs 8.0%, P < 0.001). The live-birth rate among expectantly managed cases with large chorioangioma was significantly higher compared with that in cases that underwent in-utero intervention (96.0% vs 62.5%, P = 0.01). In the intervention group, preoperative CCO was elevated in all cases with available information and preoperative hydrops was present in 33.3% (3/9) of cases. One patient experienced fetal demise following IUT prior to planned FLP. Among the remaining eight patients, four underwent two-port FLP, two underwent single-port FLP, one underwent ILA and one underwent both ILA and RFA. All three cases in which hydrops was present at the time of intervention resulted in fetal demise. CONCLUSIONS In-utero interventions aimed at cessation of blood flow in the feeding vessels are a therapeutic option for the management of cases with large chorioangioma. The two-port percutaneous technique appears to improve the efficiency of FLP when a large chorioangioma with large feeding vessels is located in the posterior placenta. We propose that in-utero interventions for large chorioangioma should be initiated prior to the development of fetal hydrops. © 2023 International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- N Agarwal
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - R Papanna
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - E P Bergh
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - E Hernandez-Andrade
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - S Backley
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - A Salazar
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - A Johnson
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
| | - J Espinoza
- Division of Fetal Intervention, Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA
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Mestha A, Dhanaliwala A, Frangieh A, Mestha SM, Ramaiah SM. Giant Chorioangioma of the Placenta as a Cause of Maternal, Foetal, and Neonatal Complications. Cureus 2023; 15:e42430. [PMID: 37637612 PMCID: PMC10448837 DOI: 10.7759/cureus.42430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2023] [Indexed: 08/29/2023] Open
Abstract
Chorioangioma is a benign placental neoplasm seen in about one percent of all pregnancies. The larger neoplasms generally cause severe foeto-maternal complications. We are reporting a case of a 33-year-old gravida three para two female who was incidentally diagnosed with chorioangioma at her routine 28-week antenatal follow-up. She delivered a preterm small-for-gestational-age female baby at 34 weeks with complications. Therefore, an early diagnosis warrants a close follow-up and timely intervention for a better outcome of the pregnancy.
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Affiliation(s)
- Akshata Mestha
- General Practice, Dubai Academic Health Corporation, Dubai, ARE
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Ma H, Liu Z, Ruan J. Placental chorioangioma and pregnancy outcome: a ten-year retrospective study in a tertiary referral centre. BMC Pregnancy Childbirth 2023; 23:381. [PMID: 37231382 DOI: 10.1186/s12884-023-05719-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 05/18/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Placental chorioangioma is a rare disorder in pregnancy. We retrospectively reviewed the perinatal complications and long-term outcomes in pregnancies with placental chorioangioma and evaluated the factors affecting disease prognosis. METHODS We reviewed pregnant women who delivered at our hospital in the past decade and whose diagnosis of placental chorioangioma was confirmed by pathological diagnosis. Information on maternal demographics, prenatal sonographic findings and perinatal outcomes was obtained by reviewing the medical records. In the latter part of the study, follow-up of children was conducted by phone interview. RESULTS In the 10 years from August 2008 to December 2018, 175 cases(0.17%) were identified as placental chorioangioma histologically and 44(0.04%) of them were large chorioangiomas. Nearly one-third of cases with large chorioangiomas were associated with severe maternal and fetal complications or required prenatal intervention. Although one-fifth of fetuses/newborns complicated with large chorioangiomas were lost perinatally, the long-term prognosis for surviving fetuses was generally good. Further statistical analysis revealed that tumor size and location affect prognosis. CONCLUSION Placental chorioangioma may cause an unfavorable perinatal outcome. Regular ultrasound monitoring can provide the tumor characteristics which can be referred to for predicting the tendency of those complications and indicate when intervention may be necessary. It is not clear which factors lead to complications with fetal damage as the main manifestation or polyhydramnios as the main manifestation.
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Affiliation(s)
- Hongwei Ma
- Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases in Women and Children of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
| | - Ziling Liu
- Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases in Women and Children of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
| | - Jie Ruan
- Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases in Women and Children of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
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Wang Y, Wei Y. Placental chorioangioma separation in third trimester after fetoscopic laser therapy: Report of a rare case. Clin Case Rep 2023; 11:e7113. [PMID: 37064742 PMCID: PMC10090935 DOI: 10.1002/ccr3.7113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 12/29/2022] [Accepted: 03/01/2023] [Indexed: 04/18/2023] Open
Abstract
A primigravida received fetoscopic laser photocoagulation treatment at 25+1 weeks gestation as a chorioangioma enlarged to 61 × 46 × 52 mm. However, a cesarean section was performed due to the chorioangioma separated from the placenta at 32+2 weeks gestation. As the chorioangioma's blood supply were blocked, it was possible to provide expectant treatment.
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Affiliation(s)
- Ying Wang
- Department of Obstetrics and GynecologyPeking University Third HospitalBeijingChina
| | - Yuan Wei
- Department of Obstetrics and GynecologyPeking University Third HospitalBeijingChina
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Schenone CV, Rodriguez A, Duncan J, Steffensen T, John JB, Običan S. Giant Placental Chorangioma and Severe Ductal Arch Constriction: A Case Report With a Favorable Outcome. Cureus 2023; 15:e38209. [PMID: 37252580 PMCID: PMC10224752 DOI: 10.7759/cureus.38209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 04/25/2023] [Indexed: 05/31/2023] Open
Abstract
Giant chorangiomas are uncommon yet frequently associated with adverse pregnancy outcomes. A 37-year-old female was referred due to findings of a placental mass during a second-trimester ultrasound. A fetal survey at 26 weeks revealed a 69×97×75 mm heterogenous placental tumor with two prominent feeding vessels. Her prenatal course was complicated by worsening polyhydramnios requiring amnioreduction, gestational diabetes, and transient severe ductal arch (DA) constriction. Placental pathology confirmed the diagnosis of giant chorioangioma following delivery at 36 weeks. To our knowledge, this represents the first case of DA constriction in the setting of a giant chorangioma.
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Affiliation(s)
| | | | - Jose Duncan
- Obstetrics and Gynecology, University of South Florida, Tampa, USA
| | | | - J Blaine John
- Pediatrics and Fetal Cardiology, St. Joseph's Children's Hospital, Tampa, USA
| | - Sarah Običan
- Obstetrics and Gynecology, University of South Florida, Tampa, USA
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Glanc P. Fetal and placental metastases associated with maternal cancers. Abdom Radiol (NY) 2023; 48:1784-1792. [PMID: 36943424 DOI: 10.1007/s00261-023-03852-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 02/07/2023] [Accepted: 02/08/2023] [Indexed: 03/23/2023]
Abstract
PURPOSE Review the effects of fetal and placental metastases in the setting of maternal cancer. METHOD Data reported in the peer-reviewed literature were combined with guidelines to evaluate the incidence, type and prognosis for fetal and placental metastasis in the setting of maternal cancer. RESULTS Limited literature available. Fetal and placental metastasis are rare. Fetal metastasis generally occurs on the background of concurrent placental metastasis thus it is important to thoroughly examine the placenta in cases of known gestational cancers. Tumor molecular testing is used to confirm maternal to offspring transmission. Maternal to offspring transmission may have a long timeline between birth to clinical presentation. Prognosis in offspring may be better than in the mother who may have a more aggressive phenotype. CONCLUSION Fetal and placental metastasis associated with maternal cancers are rare and limited peer-reviewed literature is available. The occurrence may be confirmed by detailed histological placental evaluation and molecular testing in the offspring.
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Affiliation(s)
- Phyllis Glanc
- Sunnybrook Health Sciences Centre, Department Medical Imaging, University of Toronto, MG160, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
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11
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Mackay CA, Abeysuriya D, Dickinson JE, Shipton S, Athalye-Jape G. Localised chorioangiomatosis associated with fetal right-sided cardiac dilatation. J Paediatr Child Health 2023; 59:377-380. [PMID: 36377758 DOI: 10.1111/jpc.16274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 09/20/2022] [Accepted: 10/30/2022] [Indexed: 11/16/2022]
Affiliation(s)
- Cheryl A Mackay
- Division of Neonatology, King Edward Memorial Hospital, Perth, Western Australia, Australia
| | - Disna Abeysuriya
- Division of Paediatric Anatomical Pathology, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Jan E Dickinson
- University of Western Australia, Perth, Western Australia, Australia.,Division of Obstetrics and Gynaecology, King Edward Memorial Hospital, Perth, Western Australia, Australia
| | - Stephen Shipton
- Division of Paediatric Cardiology, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Gayatri Athalye-Jape
- Division of Neonatology, King Edward Memorial Hospital, Perth, Western Australia, Australia.,University of Western Australia, Perth, Western Australia, Australia
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Zhao B, Yin L, Chu W, Wang F, Huo P, Gao J. Radio frequency ablation for the intrauterine treatment of giant placental chorioangioma associated with fetal compromise: A case report. Birth Defects Res 2023; 115:251-257. [PMID: 36259564 DOI: 10.1002/bdr2.2106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 07/21/2022] [Accepted: 09/27/2022] [Indexed: 01/26/2023]
Abstract
Giant placental chorioangiomas associated with fetal hyperdynamic circulation complications are rare to see. Here, we summarized a case of giant placental chorioangioma associated with fetal anemia and heart failure treated by radiofrequency ablation (RFA) combined with cordocentesis and intrauterine transfusion. The sonographic appearance of the placental chorioangioma was atypical which was isoechoic with unclear boundary. RFA was performed successfully at 27 weeks of gestation, when the chorioangioma has increased to 17.0 × 10.6 × 12.3 cm3 . Unfortunately, intrauterine fetal demise was found on the first day after operation. After induction of labor, it was pathologically confirmed as placental chorioangioma.
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Affiliation(s)
- Bingyi Zhao
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
| | - Lu Yin
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
| | - Wei Chu
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
| | - Fangna Wang
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
| | - Ping Huo
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
| | - Jian Gao
- Department of Reproductive and Genetic Medicine, Hebei General Hospital, Shijiazhuang, Hebei, China
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Placental and Umbilical Cord Anomalies Diagnosed by Two- and Three-Dimensional Ultrasound. Diagnostics (Basel) 2022; 12:diagnostics12112810. [PMID: 36428871 PMCID: PMC9689386 DOI: 10.3390/diagnostics12112810] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/27/2022] [Accepted: 10/01/2022] [Indexed: 11/18/2022] Open
Abstract
The aim of this review is to present a wide spectrum of placental and umbilical cord pathologies affecting the pregnancy. Placental and umbilical cord anomalies are highly associated with high-risk pregnancies and may jeopardize fetal well-being in utero as well as causing a predisposition towards poor perinatal outcome with increased fetal and neonatal mortality and morbidity. The permanent, computerized perinatology databases of different international centers have been searched and investigated to fulfil the aim of this manuscript. An extended gallery of prenatal imaging with autopsy correlation in specific cases will help to provide readers with a useful iconographic tool and will assist with the understanding and definition of this critical obstetrical and perinatological issue.
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Zimmer VA, Gomez A, Skelton E, Wright R, Wheeler G, Deng S, Ghavami N, Lloyd K, Matthew J, Kainz B, Rueckert D, Hajnal JV, Schnabel JA. Placenta segmentation in ultrasound imaging: Addressing sources of uncertainty and limited field-of-view. Med Image Anal 2022; 83:102639. [PMID: 36257132 PMCID: PMC7614009 DOI: 10.1016/j.media.2022.102639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 03/09/2022] [Accepted: 09/15/2022] [Indexed: 02/04/2023]
Abstract
Automatic segmentation of the placenta in fetal ultrasound (US) is challenging due to the (i) high diversity of placenta appearance, (ii) the restricted quality in US resulting in highly variable reference annotations, and (iii) the limited field-of-view of US prohibiting whole placenta assessment at late gestation. In this work, we address these three challenges with a multi-task learning approach that combines the classification of placental location (e.g., anterior, posterior) and semantic placenta segmentation in a single convolutional neural network. Through the classification task the model can learn from larger and more diverse datasets while improving the accuracy of the segmentation task in particular in limited training set conditions. With this approach we investigate the variability in annotations from multiple raters and show that our automatic segmentations (Dice of 0.86 for anterior and 0.83 for posterior placentas) achieve human-level performance as compared to intra- and inter-observer variability. Lastly, our approach can deliver whole placenta segmentation using a multi-view US acquisition pipeline consisting of three stages: multi-probe image acquisition, image fusion and image segmentation. This results in high quality segmentation of larger structures such as the placenta in US with reduced image artifacts which are beyond the field-of-view of single probes.
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Affiliation(s)
- Veronika A. Zimmer
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom,Faculty of Informatics, Technical University of Munich, Germany,Corresponding author at: School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom. , (V.A. Zimmer)
| | - Alberto Gomez
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Emily Skelton
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom,School of Health Sciences, City, University of London, London, United Kingdom
| | - Robert Wright
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Gavin Wheeler
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Shujie Deng
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Nooshin Ghavami
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Karen Lloyd
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Jacqueline Matthew
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Bernhard Kainz
- BioMedIA group, Imperial College London, London, United Kingdom,FAU Erlangen-Nürnberg Germany
| | - Daniel Rueckert
- Faculty of Informatics, Technical University of Munich, Germany,BioMedIA group, Imperial College London, London, United Kingdom
| | - Joseph V. Hajnal
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
| | - Julia A. Schnabel
- School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom,Faculty of Informatics, Technical University of Munich, Germany,Helmholtz Center Munich, Germany
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15
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de la Luz Bermudez-Rojas M, Medina-Jimenez V, Lira-Diaz A, Sanchez-Rodriguez MA, Valdespino-Vazquez MY, Martinez-Portilla RJ. Intrauterine transfusion of a hydropic fetus with anemia due to a giant chorioangioma: A case report. Eur J Obstet Gynecol Reprod Biol 2022; 278:122-124. [PMID: 36155328 DOI: 10.1016/j.ejogrb.2022.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 09/08/2022] [Indexed: 11/26/2022]
Abstract
Giant chorioangiomas are a potentially life-threatening condition that may require intrauterine therapy. We describe a case of a large chorioangioma (>4cm) diagnosed at 30 weeks of gestation causing severe fetal anemia and hydrops. An intrauterine blood transfusion was performed at 31 weeks with reversal of the anemia and hydrops. The neonate was born at 37 weeks showing respiratory distress syndrome that required neonatal intensive care unit admission but was discharged at 30 days of life. Further evaluation at two months of age showed no signs of abnormal neurodevelopment. When timely indicated, intrauterine transfusion of a hydropic fetus with anemia due to a giant chorioangioma is a potentially life-saving therapy that shows good neurodevelopment of the surviving fetus.
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Affiliation(s)
| | - Virginia Medina-Jimenez
- State Center for Timely Prenatal Screening, Maternal and Child Hospital Specialty, Leon Guanajuato, Mexico; Iberoamerican Research Network in Obstetrics, Gynecology, and Translational Medicine, Mexico City, Mexico
| | - Alina Lira-Diaz
- State Center for Timely Prenatal Screening, Maternal and Child Hospital Specialty, Leon Guanajuato, Mexico
| | - Miguel A Sanchez-Rodriguez
- State Center for Timely Prenatal Screening, Maternal and Child Hospital Specialty, Leon Guanajuato, Mexico
| | | | - Raigam Jafet Martinez-Portilla
- Iberoamerican Research Network in Obstetrics, Gynecology, and Translational Medicine, Mexico City, Mexico; National Institute of Perinatology, Mexico City, Mexico.
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16
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Shiraga A, Ohsuga T, Kawasaki K, Mogami H, Minamiguchi S, Mandai M. A case of placental multiple giant chorangioma leading to neonatal death from fetal hydrops. CASE REPORTS IN PERINATAL MEDICINE 2022. [DOI: 10.1515/crpm-2022-0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Objectives
Although placental chorangiomas are often asymptomatic, larger tumors (>4–5 cm) can cause various perinatal complications, including polyhydramnios, preterm birth, fetal anemia, fetal hydrops, and intrauterine fetal death. Symptomatic placental chorangiomas are often diagnosed prenatally on ultrasonography as a mass on the fetal side of the placenta.
Case presentation
A 37-year-old pregnant woman underwent emergency cesarean delivery at 34 weeks’ gestation due to rapidly progressive fetal hydrops leading to fetal dysfunction, resulting in neonatal death. Placental pathology indicated multiple placental giant chorangiomas that occupied 40% of the placenta. Because of the disk shape of the placenta, prenatal diagnosis by ultrasonography was difficult.
Conclusions
Some placental chorangiomas are difficult to diagnose and lead to fetal hydrops and poor prognosis, even if ultrasonography does not show an obvious mass in the placenta.
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Affiliation(s)
- Aoi Shiraga
- Department of Obstetrics and Gynecology , Kyoto University Hospital , Kyoto , Japan
| | - Takuma Ohsuga
- Department of Obstetrics and Gynecology , Kyoto University Hospital , Kyoto , Japan
| | - Kaoru Kawasaki
- Department of Obstetrics and Gynecology , Kyoto University Hospital , Kyoto , Japan
| | - Haruta Mogami
- Department of Obstetrics and Gynecology , Kyoto University Hospital , Kyoto , Japan
| | - Sachiko Minamiguchi
- Department of Diagnostic Pathology , Kyoto University Hospital , Kyoto , Japan
| | - Masaki Mandai
- Department of Obstetrics and Gynecology , Kyoto University Hospital , Kyoto , Japan
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17
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Reddy R. Prenatal diagnosis of placental chorioangioma on ultrasound. SONOGRAPHY 2022. [DOI: 10.1002/sono.12329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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18
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Zou J, Ding W, Chen Q, Bai X, Li B. Safety of vaginal delivery in women with placental chorioangiomas diagnosed by prenatal ultrasound: A retrospective cohort study. Medicine (Baltimore) 2022; 101:e29672. [PMID: 35866806 PMCID: PMC9302376 DOI: 10.1097/md.0000000000029672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
This study aimed to examine the maternal and neonatal outcomes in different mode of delivery in pregnant women with placental chorioangiomas, in order to determine the safety of vaginal delivery. We conducted a retrospective study of 54 women with placental chorioangioma diagnosed by prenatal ultrasound and subsequently proven histologically, excluding those who underwent cesarean section for obstetric indications. The mode of delivery was divided into a vaginal delivery group (23 women) and a cesarean section group (31 women). The indication of cesarean section group was only for placental chorioangioma, no other obstetric indications. The maternal characteristics, pregnancy outcomes and the color doppler imaging characteristics of placental chorioangioma of the 2 groups were compared, and the clinical characteristics of women in the vaginal delivery group were described in detail. The incidence of placental chorioangioma was nearly 0.43‰ in our study. There was no significant difference in the maternal characteristics and pregnancy outcomes between the 2 groups. 82.6% (19/23) of the women successfully delivered vaginally and 4 failed who turned to cesarean section in the vaginal delivery group; among them, 17 women had giant chorioangiomas (>4 cm in diameter). The direct cause of vaginal delivery failure was fetal distress, persistent occiput posterior fetal position and cephalopelvic disproportion. Pregnant women with placental chorioangiomas and no other obstetric indications for cesarean section may attempt a vaginal delivery, even with giant chorioangiomas. If there are risk factors of vaginal delivery failure, the progress of labor needs to be closely monitored.
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Affiliation(s)
- Jiashan Zou
- Department of Obstetrics, Women’s Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou 310006, Zhejiang, People’s Republic of China
| | - Weimin Ding
- Zhejiang University School of Medicine, Hangzhou 310006, People’s Republic of China
| | - Qin Chen
- Department of Pathology, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, People’s Republic of China
| | - Xiaoxia Bai
- Department of Obstetrics, Women’s Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou 310006, Zhejiang, People’s Republic of China
| | - Baohua Li
- Department of Obstetrics, Women’s Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou 310006, Zhejiang, People’s Republic of China
- *Correspondence: Baohua Li, Department of Obstetrics, Women’s Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou 310006, Zhejiang, People’s Republic of China (e-mail: )
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Turgut E, Atalay A, Sakcak B, Sahin D. Interstitial Laser Ablation of Feeding Vessels to a Large Placental Chorioangioma. Z Geburtshilfe Neonatol 2022; 226:274-277. [PMID: 35609870 DOI: 10.1055/a-1833-9554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Chorioangioma is a vascular neoplasm of the placenta with the potential to cause heart failure, hydrops, and even death. CASE A 30-year-old patient was referred owing to a large placental chorioangioma and fetal hydrops at 28 weeks of gestation. The patient underwent ultrasound-guided interstitial laser ablation. Ten days later, fetal blood transfusion was performed and at 31 weeks of gestation, and the patient delivered a female infant by cesarean section. The newborn was discharged from the neonatal intensive care unit without any complication. CONCLUSION According to our case, large placental chorioangioma may have a favorable outcome with interstitial laser ablation and fetal transfusion.
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Affiliation(s)
- Ezgi Turgut
- Department of Obstetrics and Gynecology, Division of Perinatology, Ankara City Hospital, Ankara, Turkey
| | - Aysegul Atalay
- Obstetric and Gynecology, Ankara City Hospital, Cankaya, Turkey
| | - Bedri Sakcak
- Obstetric and Gynecology, Ankara City Hospital, Cankaya, Turkey
| | - Dilek Sahin
- Perinatology, Ankara City Hospital, Cankaya, Turkey
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20
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Clinicopathological characteristics of placental chorioangioma: A clinicopathological study of 77 cases. Ann Diagn Pathol 2022; 57:151873. [DOI: 10.1016/j.anndiagpath.2021.151873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 10/25/2021] [Accepted: 12/02/2021] [Indexed: 11/20/2022]
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21
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Czeresnia RM, Trad ATA, Narang K, Wyatt M, Ruano R. Three-Dimensional Doppler Mapping of Placental Chorioangioma Prior to Fetoscopic Laser Ablation. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2022; 41:255-257. [PMID: 33749868 DOI: 10.1002/jum.15680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 02/14/2021] [Indexed: 06/12/2023]
Affiliation(s)
- Ricardo Mamber Czeresnia
- Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
| | - Ayssa Teles Abrao Trad
- Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
| | - Kavita Narang
- Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
| | - Michelle Wyatt
- Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
| | - Rodrigo Ruano
- Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
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22
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Ling L, Chen T, Zhang XH, Pan MH, Gong HH, Zhang LN, Zhao M, Chen XQ, Cui SD, Lu C. Risk Factors for Short Stature in Children Born Small for Gestational Age at Full-Term. Front Pediatr 2022; 10:833606. [PMID: 35813392 PMCID: PMC9256917 DOI: 10.3389/fped.2022.833606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE This study aims to identify the risk factors associated with short stature in children born small for gestational age (SGA) at full-term. METHODS This was a retrospective study. The subjects were full-term SGA infants who were followed up until the age of 2 years. The risk factors for short stature were identified with univariate and multivariate analyses. RESULTS Of 456 full-term SGA children enrolled in this study, 28 cases had short stature at 2 years of age. A significant decrease in placental perfusion was found in the short children group with intravoxel incoherent motion (IVIM) technology, which was an advanced bi-exponential diffusion-weighted imaging (DWI) model of magnetic resonance imaging (MRI) (p = 0.012). Compared to non-short children born SGA at full-term, the short children group underwent an incomplete catch-up growth. Mothers who suffered from systemic lupus erythematosus were more likely to have a short child born SGA (p = 0.023). The morbidity of giant placental chorioangioma was higher in the short children group. The pulsatility index (PI), resistivity index (RI), and systolic-diastolic (S/D) ratio of umbilical artery were higher in the short children group than in the non-short control group (p = 0.042, 0.041, and 0.043). Multivariate analysis demonstrated that decrease of perfusion fraction (f p) in IVIM of placental MRI, chromosomal abnormalities, short parental height, and absence of catch-up growth were associated with a higher risk of short stature in children born SGA at full-term. CONCLUSION Risk factors for short stature in full-term SGA children at 2 years of age included a decrease of perfusion fraction f p in IVIM of placental MRI, chromosomal abnormalities, and short parental height.
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Affiliation(s)
- Lan Ling
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Ting Chen
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Xin-Hua Zhang
- Department of Children's Health Care, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Min-Hong Pan
- Department of Pathology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Hai-Hong Gong
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Li-Na Zhang
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Meng Zhao
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Xiao-Qing Chen
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Shu-Dong Cui
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Chao Lu
- Department of Pediatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
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23
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Karmegaraj B, Ibrahim S, Razeen M, Premasudha V, Rajesh A. Prenatal diagnosis, management, and postnatal outcome of a fetus with massive cardiomegaly secondary to placenta chorioangioma. Echocardiography 2021; 39:157-161. [DOI: 10.1111/echo.15276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/23/2021] [Accepted: 11/27/2021] [Indexed: 11/26/2022] Open
Affiliation(s)
- Balaganesh Karmegaraj
- Department of Pediatric Cardiology Amrita Institute of Medical Sciences and Research Centre Amrita University Kochi Kerala India
- Sowmi Fetal & Pediatric Heart Centre Tirunelveli Tamilnadu India
- Department of Pediatrics Royal Hospital Tirunelveli Tamilnadu India
| | - Syed Ibrahim
- Department of Pediatrics Royal Hospital Tirunelveli Tamilnadu India
| | - Mohamed Razeen
- Department of Pediatrics Royal Hospital Tirunelveli Tamilnadu India
| | | | - Arasi Rajesh
- Department of Pathology Muthamil Hospital Tirunelveli Tamilnadu India
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24
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Corioangioma asociado a rotura prematura de membranas pretérmino en gestación obtenida mediante fecundación in vitro. Presentación de un caso. CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA 2021. [DOI: 10.1016/j.gine.2021.100673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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25
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Mo R. Successful expectant management of a giant chorioangioma. BMJ Case Rep 2021; 14:14/3/e239928. [PMID: 33722913 PMCID: PMC7959226 DOI: 10.1136/bcr-2020-239928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Giant chorioangiomas are benign placental tumours, which can have potential severe fetal consequences. Complications in pregnancy include polyhydramnios, fetal hydrops and growth restriction. Such pregnancies can carry a significant risk of poor perinatal outcome and require close monitoring. Therapeutic options include fetoscopic or interstitial vessel ablation, chemosclerosis and embolisation. Where there is no evidence of fetal compromise, such pregnancies can successfully be managed conservatively.
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Affiliation(s)
- Roxana Mo
- Department of O&G, Basildon University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, Essex, UK
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26
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Desai T, Vishwanath U. Placental Chorioangioma: A Planned Successful Outcome. J Obstet Gynaecol India 2020; 71:181-183. [PMID: 34149221 DOI: 10.1007/s13224-020-01369-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 08/01/2020] [Indexed: 10/23/2022] Open
Affiliation(s)
- Tanvi Desai
- Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu India
| | - Usha Vishwanath
- Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu India
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