妊娠 36 周患者的巨大绒毛膜血管瘤:病例报告

B. Mehrotra
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摘要

摘要 本报告涉及一名妊娠 36 周、非滋养细胞胎盘良性肿瘤绒毛膜血管瘤(胎盘血管瘤)的 40 岁患者。据描述,绒毛血管瘤的发病率占所有妊娠的 0.5%至 1.0%。肿瘤直径可能大于 4 厘米,这种肿瘤被称为巨大肿瘤。较小的肿瘤一般没有症状。然而,有临床意义的绒毛膜血管瘤发生率较低;发生率从每 3500 例妊娠中 1 例到每 9000 例妊娠中 1 例不等。巨大绒毛膜血管瘤是非常罕见的肿瘤,仅有几例报道。绒毛膜血管瘤患者可能会出现胎儿发育迟缓、贫血和肾积水等母胎并发症。此外,胎儿丢失率可能高达 40%。高海拔地区妊娠可能会增加绒毛膜血管瘤的发病率,这表明低压缺氧在绒毛膜血管瘤的发病机制中起着重要作用。关键词圆形胎盘良性肿瘤。
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Giant Chorioangioma in a Patient with 36 Weeks of Pregnancy: A Case Report
Abstract Present report relates to a 40-year-old patient with 36 weeks of pregnancy and non-trophoblastic benign placental neoplasm chorioangioma (placental hemangioma). The incidence of chorioangioma has been described as 0.5 to 1.0 % of all pregnancies. Tumors may be >4 cm in diameter; such tumors are called giant tumors. Smaller tumors are generally asymptomatic. However, clinically-significant chorioangioma occur less frequently; incidence varying from 1 in 3500 to 1 in 9000 pregnancies. Giant chorioangiomas are very rare tumors; only a few cases have been reported. Feto-maternal complications like fetal growth retardation, anemia and hydrops may develop in a patient with chorioangioma. Further, fetal loss may be as high as ~ 40 %. Increased incidence of chorioangiomas may occur at high-altitude pregnancies, suggesting role of hypobaric hypoxia in pathogenesis of chorioangioma. Keywords: Well-circumscribed benign placental neoplasm.
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