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Color Doppler imaging in the diagnosis and management of chorioangiomas
Color Doppler imaging was used to investigate nine consecutive cases of placental tumors referred for evaluation to a tertiary referral unit. Gray‐scale ultrasound findings were of a chorioangioma which was subsequently confirmed on pathologic examination. On color Doppler imaging (CDI), three tumor...
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| Published in: | Ultrasound in obstetrics & gynecology 2000-06, Vol.15 (6), p.463-467 |
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| container_title | Ultrasound in obstetrics & gynecology |
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| creator | Jauniaux, E. Ogle, R. |
| description | Color Doppler imaging was used to investigate nine consecutive cases of placental tumors referred for evaluation to a tertiary referral unit.
Gray‐scale ultrasound findings were of a chorioangioma which was subsequently confirmed on pathologic examination. On color Doppler imaging (CDI), three tumors appeared avascular and the pregnancies were uncomplicated, two had only a few vessels in their periphery, and four contained numerous vessels. These vascular chorioangiomas were complicated by polyhydramnios and premature labor (n = 3), isolated polyhydramnios (n = 1), fetal growth restriction (n = 1) and generalized non‐immune fetal hydrops (NIHF) (n = 1). The maximum diameter of the tumors ranged between 3 and 10 cm. There was no direct association between the size and location of the tumor and the development of complications. Successful amnioreduction was performed in the three cases of polyhydramnios and premature onset of labor. Vascular sclerosis was attempted unsuccessfully in the case complicated by severe NIHF.
Our data indicate that the vascularization of the tumor is a pivotal determinant factor of pregnancy outcome. Where the tumor is avascular, no specific complications should be expected. Where the tumor is vascularized, and in particular if it contains numerous large vessels, serial ultrasound and Doppler examinations are warranted to detect polyhydramnios and early features of fetal congestive heart failure. © 2000 British Journal of Surgery Society Ltd |
| doi_str_mv | 10.1046/j.1469-0705.2000.00127.x |
| format | article |
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Gray‐scale ultrasound findings were of a chorioangioma which was subsequently confirmed on pathologic examination. On color Doppler imaging (CDI), three tumors appeared avascular and the pregnancies were uncomplicated, two had only a few vessels in their periphery, and four contained numerous vessels. These vascular chorioangiomas were complicated by polyhydramnios and premature labor (n = 3), isolated polyhydramnios (n = 1), fetal growth restriction (n = 1) and generalized non‐immune fetal hydrops (NIHF) (n = 1). The maximum diameter of the tumors ranged between 3 and 10 cm. There was no direct association between the size and location of the tumor and the development of complications. Successful amnioreduction was performed in the three cases of polyhydramnios and premature onset of labor. Vascular sclerosis was attempted unsuccessfully in the case complicated by severe NIHF.
Our data indicate that the vascularization of the tumor is a pivotal determinant factor of pregnancy outcome. Where the tumor is avascular, no specific complications should be expected. Where the tumor is vascularized, and in particular if it contains numerous large vessels, serial ultrasound and Doppler examinations are warranted to detect polyhydramnios and early features of fetal congestive heart failure. © 2000 British Journal of Surgery Society Ltd</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1046/j.1469-0705.2000.00127.x</identifier><identifier>PMID: 11005112</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Alpha–fetoprotein ; Biological and medical sciences ; Chorioangioma ; Diagnosis, Differential ; Female ; Fetal Growth Retardation - etiology ; Gynecology. Andrology. Obstetrics ; Hemangioma - complications ; Hemangioma - diagnostic imaging ; Hemangioma - pathology ; Humans ; Management. Prenatal diagnosis ; Medical sciences ; Obstetric Labor, Premature - etiology ; Placenta ; Placenta - diagnostic imaging ; Placenta Diseases - complications ; Placenta Diseases - diagnostic imaging ; Placenta Diseases - pathology ; Polyhydramnios - etiology ; Pregnancy ; Pregnancy Trimester, Second ; Pregnancy. Fetus. Placenta ; Tumor ; Ultrasonography, Doppler, Color ; Ultrasound</subject><ispartof>Ultrasound in obstetrics & gynecology, 2000-06, Vol.15 (6), p.463-467</ispartof><rights>Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4433-5ea8419fafe5d453f85b38b450698c26ac300aa74e306d44e9ea45991b945bcc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1469-0705.2000.00127.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1469-0705.2000.00127.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,1424,27957,27958,45609,45610,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1484373$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11005112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jauniaux, E.</creatorcontrib><creatorcontrib>Ogle, R.</creatorcontrib><title>Color Doppler imaging in the diagnosis and management of chorioangiomas</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Color Doppler imaging was used to investigate nine consecutive cases of placental tumors referred for evaluation to a tertiary referral unit.
Gray‐scale ultrasound findings were of a chorioangioma which was subsequently confirmed on pathologic examination. On color Doppler imaging (CDI), three tumors appeared avascular and the pregnancies were uncomplicated, two had only a few vessels in their periphery, and four contained numerous vessels. These vascular chorioangiomas were complicated by polyhydramnios and premature labor (n = 3), isolated polyhydramnios (n = 1), fetal growth restriction (n = 1) and generalized non‐immune fetal hydrops (NIHF) (n = 1). The maximum diameter of the tumors ranged between 3 and 10 cm. There was no direct association between the size and location of the tumor and the development of complications. Successful amnioreduction was performed in the three cases of polyhydramnios and premature onset of labor. Vascular sclerosis was attempted unsuccessfully in the case complicated by severe NIHF.
Our data indicate that the vascularization of the tumor is a pivotal determinant factor of pregnancy outcome. Where the tumor is avascular, no specific complications should be expected. Where the tumor is vascularized, and in particular if it contains numerous large vessels, serial ultrasound and Doppler examinations are warranted to detect polyhydramnios and early features of fetal congestive heart failure. © 2000 British Journal of Surgery Society Ltd</description><subject>Alpha–fetoprotein</subject><subject>Biological and medical sciences</subject><subject>Chorioangioma</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fetal Growth Retardation - etiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemangioma - complications</subject><subject>Hemangioma - diagnostic imaging</subject><subject>Hemangioma - pathology</subject><subject>Humans</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Placenta</subject><subject>Placenta - diagnostic imaging</subject><subject>Placenta Diseases - complications</subject><subject>Placenta Diseases - diagnostic imaging</subject><subject>Placenta Diseases - pathology</subject><subject>Polyhydramnios - etiology</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Tumor</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasound</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNqNkE1P3DAQhi0EKlvav4B8QNwSxvFHYokLWtptJSQu5WxNHCd4ldiLvSvg3zfbXcG1pznM886reQihDEoGQt2sSyaULqAGWVYAUAKwqi7fTsjiY3FKFqAVFLXS1Tn5mvN6BpXg6gs5ZwxAMlYtyGoZx5jofdxsRpeon3DwYaA-0O2zo53HIcTsM8XQ0QkDDm5yYUtjT-1zTD5iGHycMH8jZz2O2X0_zgvy9PPHn-Wv4uFx9Xt591BYITgvpMNGMN1j72QnJO8b2fKmFRKUbmyl0HIAxFo4DqoTwmmHQmrNWi1kay2_INeHu5sUX3Yub83ks3XjiMHFXTZ1VWlZMZjB5gDaFHNOrjebNH-X3g0Ds5do1mbvyuxdmb1E80-ieZujl8eOXTu57jN4tDYDV0cAs8WxTxisz5-caASv-YzdHrBXP7r3_-43T48r2XD-F-tMi_4</recordid><startdate>200006</startdate><enddate>200006</enddate><creator>Jauniaux, E.</creator><creator>Ogle, R.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200006</creationdate><title>Color Doppler imaging in the diagnosis and management of chorioangiomas</title><author>Jauniaux, E. ; Ogle, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4433-5ea8419fafe5d453f85b38b450698c26ac300aa74e306d44e9ea45991b945bcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Alpha–fetoprotein</topic><topic>Biological and medical sciences</topic><topic>Chorioangioma</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Fetal Growth Retardation - etiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hemangioma - complications</topic><topic>Hemangioma - diagnostic imaging</topic><topic>Hemangioma - pathology</topic><topic>Humans</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Placenta</topic><topic>Placenta - diagnostic imaging</topic><topic>Placenta Diseases - complications</topic><topic>Placenta Diseases - diagnostic imaging</topic><topic>Placenta Diseases - pathology</topic><topic>Polyhydramnios - etiology</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Tumor</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jauniaux, E.</creatorcontrib><creatorcontrib>Ogle, R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jauniaux, E.</au><au>Ogle, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Color Doppler imaging in the diagnosis and management of chorioangiomas</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2000-06</date><risdate>2000</risdate><volume>15</volume><issue>6</issue><spage>463</spage><epage>467</epage><pages>463-467</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Color Doppler imaging was used to investigate nine consecutive cases of placental tumors referred for evaluation to a tertiary referral unit.
Gray‐scale ultrasound findings were of a chorioangioma which was subsequently confirmed on pathologic examination. On color Doppler imaging (CDI), three tumors appeared avascular and the pregnancies were uncomplicated, two had only a few vessels in their periphery, and four contained numerous vessels. These vascular chorioangiomas were complicated by polyhydramnios and premature labor (n = 3), isolated polyhydramnios (n = 1), fetal growth restriction (n = 1) and generalized non‐immune fetal hydrops (NIHF) (n = 1). The maximum diameter of the tumors ranged between 3 and 10 cm. There was no direct association between the size and location of the tumor and the development of complications. Successful amnioreduction was performed in the three cases of polyhydramnios and premature onset of labor. Vascular sclerosis was attempted unsuccessfully in the case complicated by severe NIHF.
Our data indicate that the vascularization of the tumor is a pivotal determinant factor of pregnancy outcome. Where the tumor is avascular, no specific complications should be expected. Where the tumor is vascularized, and in particular if it contains numerous large vessels, serial ultrasound and Doppler examinations are warranted to detect polyhydramnios and early features of fetal congestive heart failure. © 2000 British Journal of Surgery Society Ltd</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11005112</pmid><doi>10.1046/j.1469-0705.2000.00127.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ultrasound in obstetrics & gynecology, 2000-06, Vol.15 (6), p.463-467 |
| issn | 0960-7692 1469-0705 |
| language | eng |
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| source | Wiley-Blackwell Journals; Wiley |
| subjects | Alpha–fetoprotein Biological and medical sciences Chorioangioma Diagnosis, Differential Female Fetal Growth Retardation - etiology Gynecology. Andrology. Obstetrics Hemangioma - complications Hemangioma - diagnostic imaging Hemangioma - pathology Humans Management. Prenatal diagnosis Medical sciences Obstetric Labor, Premature - etiology Placenta Placenta - diagnostic imaging Placenta Diseases - complications Placenta Diseases - diagnostic imaging Placenta Diseases - pathology Polyhydramnios - etiology Pregnancy Pregnancy Trimester, Second Pregnancy. Fetus. Placenta Tumor Ultrasonography, Doppler, Color Ultrasound |
| title | Color Doppler imaging in the diagnosis and management of chorioangiomas |
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