Large chorangiomas: a seven years study in a tertiary care obstetrics and gynaecology hospital

Balamurugan V.; Revathy M.; Kanchana M. P.; Shobha S.

doi:10.18203/2320-1770.ijrcog20191952

Authors

Balamurugan V. Department of Pathology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India
Revathy M. Department of Pathology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India
Kanchana M. P. Department of Pathology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India
Shobha S. Department of Pathology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20191952

Keywords:

Capillary proliferation, Chorangioma, Fetal and maternal complication, Placenta

Abstract

Background: Chorangioma is a benign vascular placental tumour. It is composed of fetal capillary proliferation within the chorionic villi supported by a variable stroma. Smaller lesions are incidental, are often missed and carry no clinical significance. Larger lesions are associated with feto-maternal complications and are infrequently sent for histopathological examination.

Methods: The study was conducted at the department of pathology, at a tertiary care obstetrics and gynaecology hospital. The study was a retrospective study which covered 7 years. Paraffin embedded blocks of placental specimens containing mass were taken up for the study. Sections were stained with haematoxylin and eosin (H and E). The results are compared and correlated with clinicopathologic factors. The statistical data are analysed manually.

Results: A total of seven cases were included in the study, 4 cases were primi gravida, 1 case each in second, third and fourth gravida. Pregnancy outcome was intrauterine death in 1 case, dead born in 1 case, alive healthy children in 5 cases, birth weight was normal in 4 children, low birth weight in 2 children and 1 was extremely low birth weight. Of the total of 7 placental specimens 3 showed extraplacental mass and rest 4 showed intraplacental mass. All cases showed solitary lesions and measured > 5cm (large). Histopathological examination of all 7 specimens showed features of chorangioma.

Conclusions: Careful inspection of the placenta is necessary following all deliveries. Any suspicious lesions should be documented and evaluated by histopathological examination there by predicting feto maternal complications and help the clinicians in better management of the mother and child accordingly. Meagre documentation of such cases prompted us to present this series of 7 cases of large chorangiomas with a mixed fetal outcome.

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