Massive Fetomaternal Hemorrhage Caused by an Intraplacental Choriocarcinoma: Case Report and Review of the Literature.

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Diagnostics Pub Date : 2024-11-01 DOI:10.3390/diagnostics14212454
Felice Sorrentino, Teresa Silvestris, Francesca Greco, Lorenzo Vasciaveo, Guglielmo Stabile, Veronica Falcone, Andrea Etrusco, Antonio D'Amato, Antonio Simone Laganà, Luigi Nappi
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Abstract

Intraplacental choriocarcinoma (IC) is a gestational trophoblastic neoplasia located within the placenta. Due to its silent presentation, more than half of the cases are diagnosed incidentally. An association with fetomaternal hemorrhage (FMH), stillbirth, and intrauterine growth restriction has been found. The aim of this review is to describe the clinical management of this rare condition stemming from a case report of an incidental diagnosis following an emergency cesarean section, and taking into account the available literature. Emergency interventions and examination of the placenta, even for the smallest IC lesion can ensure timely treatment and improve maternal and fetal outcomes.

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胎盘内绒毛膜癌引起的大面积母体出血:病例报告和文献综述。
胎盘内绒毛膜癌(IC)是一种位于胎盘内的妊娠滋养细胞肿瘤。由于其无声无息,半数以上的病例都是偶然被诊断出来的。已发现该病与胎产出血(FMH)、死胎和胎儿宫内生长受限有关。本综述的目的是根据一例紧急剖宫产术后偶然诊断的病例报告,并参考现有文献,描述这种罕见疾病的临床治疗方法。紧急干预和胎盘检查,即使是最小的 IC 病变,也能确保及时治疗并改善母体和胎儿的预后。
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来源期刊
Diagnostics
Diagnostics Biochemistry, Genetics and Molecular Biology-Clinical Biochemistry
CiteScore
4.70
自引率
8.30%
发文量
2699
审稿时长
19.64 days
期刊介绍: Diagnostics (ISSN 2075-4418) is an international scholarly open access journal on medical diagnostics. It publishes original research articles, reviews, communications and short notes on the research and development of medical diagnostics. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodological details must be provided for research articles.
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