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Obstet Gynecol Sci > Volume 55(1); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(1):33-37.
DOI: https://doi.org/10.5468/KJOG.2012.55.1.33    Published online January 1, 2012.
Fetomaternal hemorrhage caused by an intraplacental choriocarcinoma.
Ju Eun Jeong, Soo Hyun Moon, Kyung Hee Park, Nari Shin, Chang Hun Lee, Seung Chul Kim
1Department of Obstetrics, Pusan National University School of Medicine, Busan, Korea. ksch0127@naver.com
2Department of Pediatric, Pusan National University School of Medicine, Busan, Korea.
3Department of Pathololgy, Pusan National University School of Medicine, Busan, Korea.
Abstract
Intraplacental choriocarcinoma is rare, and occasionally results in massive feto-maternal hemorrhage. We describe a case of an intraplacental choriocarcinoma diagnosed postpartum after a preterm cesarean delivery of a severely anemic newborn. The microscopic examination showed that clusters of malignant trophoblasts arose from residual normal chorionic villi and infiltrated into the intervillous spaces, confirmed as intraplacental choriocarcinoma. Fetomaternal hemorrhage is a rare complication of choriocarcinoma but its presence should always warrant detailed examination of placenta, mother, and infant.
Key Words: Fetomaternal hemorrhage, Fetal distress, Intraplacental choriocarcinoma


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