Loạn sản trung mô bánh nhau: Báo cáo trường hợp

Placental mesenchymal dysplasia: case report

ABSTRACT:

Introduction: Placental mesenchymal dysplasia (PMD) is a rare vascular anomaly characterized by mesenchymal stem villous hyperplasia. it is important to distinguish PMD from partial hydatidiform mole or a twin pregnancy with a normal fetus and coexistent complete mole and placenta mosacism due to the completely difference in prediction and prognosis. It is also crucial to manage PMD because the association between this problem and severe pregnancy outcomes.

Case report: 02 outpatient PMD cases was diagnosed and monitored at Obstetrics and Gynecology Department, Hue University Hospital during pregnancy. The placental histopathologic and grossly findings correspond to the diagnosis of PMD and the prenatal ultrasound findings. The results was similar with other publications worldwide. There was no severe pregnancy outcomes on two pregnant woman, but 1 of 2 fetus was suspected intrauterine growth restriction.

Conclusion: It is necessary to evaluate morphology carefully to make a sutable diagnosis. Amniocentesis should be thought. PMD relates to some pregnancy outcomes, however it is a benign disease so we should evaluate carefully the fetal growth and pregnancy outcomes.

Keywords: Placental mesenchymal dysplasia, fetal growth, pregnancy outcomes.