Here is another partial mole in a case of triploidy. Note the scattered grape-like masses with intervening normal-appearing placental tissue. 另例三倍体部分葡萄胎。显示有分散的葡萄状团块,内有正常外观的胎盘组织。 |
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In partial moles, some villi (as seen here at the lower left) appear normal, whereas others are swollen. There is minimal trophoblastic proliferation. 在部分胎块中,一些绒毛(左下所示)表现正常,然而它处绒毛肿胀。有最小限度的滋养层增生。 |
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The avascular villi of molar pregnancy are quite large. However, these must be distinguished from simple "hydropic degeneration" seen in placentas of fetuses undergoing intrauterine demise. 葡萄胎无血管绒毛是十分大的。须与单纯水样变性相区别。图示子宫内胎盘正在死亡。 |
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Much less common than hydatidiform mole is choriocarcinoma, seen here. Villi are not present. Rather, there is a proliferation of bizarre trophoblastic cells. These tumors are very aggressive and are associated with very marked HCG levels. Half of choriocarcinomas arise in preceding hydatidiform moles. 绒毛膜癌比葡萄胎少见,如图所示。绒毛不存在,明显异型性的胚胎滋养层细胞增殖显著。具有很强的侵袭性,并与HCG关系密切。一半的绒毛膜癌发生于葡萄胎后。 |
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Sometimes no normal decidual plate forms in pregnancy, and placental villi invade directly into myometrium, as seen here. This condition in known as placenta accreta. A hysterectomy may be necessary to control bleeding. 有时没有正常的蜕膜形成,胎盘绒毛直接侵入子宫肌层,如图示,称为胎盘粘连。子宫切除可有效控制出血。 |