Consecutive chorioangiomas in the same pregnancy: A clinical case and review of literature.

Autor: Germano C; Department of Obstetrics and Gynaecology, Ospedale Degli Infermi, Biella University of Turin Turin Italy.; Department of Obstetrics and Gynaecology 2U Sant'Anna Hospital, University of Turin Turin Italy., Pilloni E; Department of Obstetrics and Gynaecology Sant'Anna Hospital Turin Italy., Rolfo A; Department of Obstetrics and Gynaecology 2U Sant'Anna Hospital, University of Turin Turin Italy., Botta G; Department of Foetal and Maternal Pathology Sant'Anna Hospital Turin Italy., Parpinel G; Department of Obstetrics and Gynaecology 2U Sant'Anna Hospital, University of Turin Turin Italy., Cortese P; Department of Obstetrics and Gynaecology Sant'Anna Hospital Turin Italy., Cotrino I; Department of Obstetrics and Gynaecology Sant'Anna Hospital Turin Italy., Attini R; Department of Obstetrics and Gynaecology 2U Sant'Anna Hospital, University of Turin Turin Italy., Revelli A; Department of Obstetrics and Gynaecology 2U Sant'Anna Hospital, University of Turin Turin Italy., Masturzo B; Department of Obstetrics and Gynaecology, Ospedale Degli Infermi, Biella University of Turin Turin Italy.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2022 Apr 05; Vol. 5 (3), pp. e566. Date of Electronic Publication: 2022 Apr 05 (Print Publication: 2022).
DOI: 10.1002/hsr2.566
Abstrakt: Background and Aims: Aetiopathogenesis of chorioangioma is already unknown. Among the risk factors, hypoxia, environmental and genetic factors are believed to induce the overexpression of angiogenic cytokines promoting vascular proliferation. We reported a case of prenatally diagnosed 67 mm-wide placental chorioangioma, which occurred at 32 weeks of gestational age, infarcted, and followed by the onset of a second infarcted chorioangioma at 35 weeks of gestational age. Besides, we discussed the hypothesis of chorioangioma aetiopathogenesis and behavior through a literature summary.
Methods: We carried out a literature search of chorioangioma cases without a time interval. Therefore, we carried out a literature summary on chorioangioma risk factors and etiology, by selecting articles within a time interval from 1995 to 2021.
Results: This is the first case of two consecutive chorioangiomas in the same pregnancy published in the literature. We found a possible genetic predisposition in women developing chorioangioma while infarction may be related to the abnormal structure of tumor vessels. The onset of a second lesion could reflect hypoxic stimuli following infarction and involves hypoxia-induced factor-1alpha, vascular endothelial growth factor, transforming growth factor-beta, and soluble Fms-like tyrosine kinase-1 pathways. Chorangiosis can be coexistent and may reflect a mutual etiology in susceptible individuals.
Conclusion: In a predisposed placenta, that previously generated a chorioangioma, infarction of the chorioangioma should not represent a sign for pregnancy termination, but a marker for closer monitoring to early detect the possible onset of a second chorioangioma and a higher risk of umbilical cord thrombosis.
Competing Interests: The authors declare no conflicts of interest.
(© 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: