A Challenging Diagnosis: Placental Mesenchymal Dysplasia-Literature Review and Case Report

We describe a 22-year-old woman (2-gravid) case who was referred to our clinic at 18 weeks of gestation for a placenta with vesicular lesions discovered on prenatal examination routine. An ultrasound exam at 31 weeks of gestation showed numerous vesicular lesions, which gradually augmented as the pr...

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Published inDiagnostics (Basel) Vol. 12; no. 2; p. 293
Main Authors Mehedintu, Claudia, Frincu, Francesca, Ionescu, Oana-Maria, Cirstoiu, Monica Mihaela, Sajin, Maria, Olinca, Maria, Bratila, Elvira, Petca, Aida, Carp-Veliscu, Andreea
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 24.01.2022
MDPI
Subjects
Abortion
alpha-fetoprotein
Amniotic fluid
Anemia
Babies
Case reports
Cysts
Enzymes
Fetuses
Hyperplasia
molar pregnancy
Morphology
Placenta
placental mesenchymal dysplasia
Preeclampsia
Pregnancy
Review
Ultrasonic imaging
β-human chorionic gonadotropin
placental mesenchymal dysplasia
alpha-fetoprotein
molar pregnancy
β-human chorionic gonadotropin
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Abstract We describe a 22-year-old woman (2-gravid) case who was referred to our clinic at 18 weeks of gestation for a placenta with vesicular lesions discovered on prenatal examination routine. An ultrasound exam at 31 weeks of gestation showed numerous vesicular lesions, which gradually augmented as the pregnancy advanced. A live normal-appearing fetus was confirmed by intrauterine growth restriction (IUGR). The maternal serum β-human chorionic gonadotropin level remained in normal ranges. At some point, a multidisciplinary medical consensus considered the termination of the pregnancy, but the patient refused to comply. At 33 weeks of gestation, preterm premature rupture of membranes (pPROM) occurred, and she spontaneously delivered a 1600 g healthy female baby with a good long-term outcome. Placental mesenchymal dysplasia (PMD) was retrospectively diagnosed after confronting the data from ultrasound, chorionic villus sampling (CVS), amniocentesis, pathological examination, and immunohistochemical stain. The lack of sufficient reports of PMD determines doctors to be cautious and reserved, approaching these cases more radically than necessary. We reviewed this disease and searched for all cases of PMD associated with healthy, live newborns.
AbstractList We describe a 22-year-old woman (2-gravid) case who was referred to our clinic at 18 weeks of gestation for a placenta with vesicular lesions discovered on prenatal examination routine. An ultrasound exam at 31 weeks of gestation showed numerous vesicular lesions, which gradually augmented as the pregnancy advanced. A live normal-appearing fetus was confirmed by intrauterine growth restriction (IUGR). The maternal serum β-human chorionic gonadotropin level remained in normal ranges. At some point, a multidisciplinary medical consensus considered the termination of the pregnancy, but the patient refused to comply. At 33 weeks of gestation, preterm premature rupture of membranes (pPROM) occurred, and she spontaneously delivered a 1600 g healthy female baby with a good long-term outcome. Placental mesenchymal dysplasia (PMD) was retrospectively diagnosed after confronting the data from ultrasound, chorionic villus sampling (CVS), amniocentesis, pathological examination, and immunohistochemical stain. The lack of sufficient reports of PMD determines doctors to be cautious and reserved, approaching these cases more radically than necessary. We reviewed this disease and searched for all cases of PMD associated with healthy, live newborns.
Author Frincu, Francesca
Cirstoiu, Monica Mihaela
Mehedintu, Claudia
Sajin, Maria
Ionescu, Oana-Maria
Bratila, Elvira
Carp-Veliscu, Andreea
Petca, Aida
Olinca, Maria
AuthorAffiliation 2 Department of Pathology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; maria.sajin@umfcd.ro (M.S.); maria.olinca@umfcd.ro (M.O.)
1 Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; claudia.mehedintu@umfcd.ro (C.M.); ionescuoanamaria@gmail.com (O.-M.I.); monica.cirstoiu@umfcd.ro (M.M.C.); elvira.bratila@umfcd.ro (E.B.); aida.petca@umfcd.ro (A.P.); andreea_veliscu@yahoo.com (A.C.-V.)
AuthorAffiliation_xml – name: 2 Department of Pathology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; maria.sajin@umfcd.ro (M.S.); maria.olinca@umfcd.ro (M.O.)
– name: 1 Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; claudia.mehedintu@umfcd.ro (C.M.); ionescuoanamaria@gmail.com (O.-M.I.); monica.cirstoiu@umfcd.ro (M.M.C.); elvira.bratila@umfcd.ro (E.B.); aida.petca@umfcd.ro (A.P.); andreea_veliscu@yahoo.com (A.C.-V.)
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/35204384$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1136_bcr_2023_258296
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Keywords placental mesenchymal dysplasia
alpha-fetoprotein
molar pregnancy
β-human chorionic gonadotropin
Language English
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Snippet We describe a 22-year-old woman (2-gravid) case who was referred to our clinic at 18 weeks of gestation for a placenta with vesicular lesions discovered on...
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SubjectTerms Abortion
alpha-fetoprotein
Amniotic fluid
Anemia
Babies
Case reports
Cysts
Enzymes
Fetuses
Hyperplasia
molar pregnancy
Morphology
Placenta
placental mesenchymal dysplasia
Preeclampsia
Pregnancy
Review
Ultrasonic imaging
β-human chorionic gonadotropin
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Title A Challenging Diagnosis: Placental Mesenchymal Dysplasia-Literature Review and Case Report
URI https://www.ncbi.nlm.nih.gov/pubmed/35204384
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Volume 12
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