Placental chorioangioma: case report

Yıl 2014, Cilt: 45 Sayı: 4, 165 - 170, 19.08.2014

Pınar Kumru Cem Ardıç Oya Demirci Oya Pekin Murat Muhcu Ahmet Tuğrul Cuma Yorgancı

Öz

Chorioangiomas are the most common benign tumors of placenta. In our case, a 30 years old woman, gravida 2, para 1 at 22 weeks of gestation was referred to our Perinathology Department due to high levels of maternal serum alfa-feto protein (MSAFP). Doppler ultrasonography showed that the placenta was attached to left-posterior wall of uterus and a 40x38 mm solid, vascularized mass was present in it. No fetal abnormality was detected. Patient was followed with preliminary diagnose of placental chorioangioma and at 32 weeks of gestation, it was detected that the size of the mass was 64x54 mm and accompanied by polyhydroamnios. Patient was hospitalized because of abnormal umbilical artery doppler finding as absence of end diastolic flow. After applying corticosteroids and completion of fetal lung maturation , a caesarean section was performed due to previous ceaserean delivery history. Diagnose of placental choriangioma was confirmed after pathological examination. As a result, we suggest; detailed evaulation of placenta should be performed in patients with elevated MSAFP levels. Patients with preliminary diagnose of placental chorioangioma should be followed closely for possible fetal and maternal complications.

Key words: Maternal Serum Alfa-Fetoprotein,  Chorioangioma, Doppler  Ultrasonography

Anahtar Kelimeler

Maternal Serum Alpha-Fetoprotein, Chorioangioma, Doppler Ultrasonography.CİLT: 45 YIL: 2014 SAYI: 4ZEYNEP KAMİL TIP BÜLTENİ 2014;45:165-70

Plasental koryoanjioma: olgu sunumu

Öz

Plasental koryoanjiomalar, plasentanın en sık rastlanan bening tümörüdür. Olgumuz 30 yaşında G2 P1, 22. gebelik haftasında, yüksek Maternal Serum Alfa-Fetoprotein (MSAFP) sebebi ile perinatoloji polikliniğine refere edilmiştir. Ultrasonografik değerlendirmede; plasenta uterus sol posteriorda olup, lateralinde arteriyo-venöz vaskülarizasyon izlenen, 40x38 mm boyutlarında solid görünümlü kitle tespit edildi. Fetusta anomali saptanmadı. Plasental koryoanjioma ön tanısı ile gebelik takibe alındı. Gebeliğin 32. haftasında kitlenin boyutlarının 64x54 mm olduğu ve polihidroamniyosun eşlik ettiği tespit edildi. Yapılan Doppler ultrasonografide umbilikal arterde end-diyastolik akım kaybı olması nedeniyle  gebe hospitalize edildi. Maternal steroid uygulaması ile fetal akciğer matürasyonu takiben, sezeryan öyküsü nedeniyle sezeryan ile doğurtuldu. Plasentanın patolojik incelemesinde  koryoanjioma tanısı doğrulandı. Sonuçta, maternal serum AFP yüksekliği tespit edilen olgular, ultrasonografi ile korianjiom açısından değerlendilmelidir. Plasental koryoanjioma tespit edilen gebeler olası yüksek fetal ve maternal komplikasyonlar nedeniyle yakın takip edilmelidir. 

Anahtar kelimeler: Maternal Serum Alfa-Fetoprotein, Koryoanjioma, Doppler  Ultrasonografi

Anahtar Kelimeler

Maternal Serum Alfa-Fetoprotein, Koryoanjioma, Doppler Ultrasonografi.

Kaynakça

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