A typical postcesarean epithelioid trophoblastic lesion with placenta increta: Case report and literature review

被引：2

作者：

Zhou, Feng ^{[1
]}

Huang, Lili ^{[2
]}

机构：

[1] Zhejiang Univ, Sch Med, Womens Hosp, Dept Pathol, Hangzhou 310006, Zhejiang, Peoples R China

[2] Zhejiang Univ, Sch Med, Womens Hosp, Dept Obstet & Gynecol, Hangzhou 310006, Zhejiang, Peoples R China

来源：

PATHOLOGY RESEARCH AND PRACTICE | 2018年 / 214卷 / 12期

基金：

中国国家自然科学基金;

关键词：

Uterus; Epithelioid; Intermediate trophoblastic cells; Postcesarean delivery; Placenta increta; TUMOR; SECTION; CYST;

D O I：

10.1016/j.prp.2018.08.004

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

We report an extremely rare case of unusual atypical epithelioid trophoblastic lesion from placenta increta. A 25 year-old Chinese woman with a history of 1 cesarean delivery was admitted to the hospital at 37 weeks' gestation. Magnetic resonance imaging (MRI) showed the feature of placenta increta. An elective primary cesarean section was scheduled and a healthy baby was born. The patient was suggestive of placenta increta and implantation site was resected. Histology indicated a lesion consisting of epithelioid trophoblastic cells with an intermediate pattern between a classical placental site nodule and an epithelioid trophoblastic tumor. This may be linked to her previous cesarean delivery, which supports the relationship between atypical epithelioid trophoblastic lesion formation and surgical interventions. Her serum human chorionic gonadotropin (hCG) was 352.4 IU/L after delivery and gradually decreased to normal level.

引用

页码：2099 / 2102

页数：4

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