Clinical Diagnosis and Treatment of Placental Hemangioma: An Analysis of 19 Cases
Department of Obstetrics and Gynecology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China
| Abstract: | Objective: To investigate the clinical features of placental hemangioma, so as to provide advice for diagnosis and treatment. Methods: The clinical data of 19 patients with placental hemangioma admitted to Jinhua Central Hospital from January 1, 2010 to December 31, 2021 were retrospectively analyzed. These cases were divided into group A (complication), group B (no complication); C group (premature birth), D group (term birth); Group E (fetal face) and group F (maternal face). Their clinical characteristics and outcomes of diagnosis and treatment were summarized. Results: The incidence of placental hemangioma accounted for 1.6% of pregnant women. In the case group with complications related to placental hemangioma during pregnancy, the maximum diameter of the tumor was higher than that in the case group without complications related to placental hemangioma, and the gestational age was lower than that in the case group without complications related to placental hemangioma. The composition ratio of the number of people with complications of placental hemangioma and the longest diameter of the placental hemangioma at termination of pregnancy were significantly higher than those in the term group, and the gestational age of placental hemangioma in the preterm group was significantly lower than that in the term group. The longest diameter of the tumor at termination of pregnancy in the placental hemangioma case group on the fetal side of the placenta was significantly higher than that in the placental hemangioma case group on the maternal side of the placenta. The incidence of placental hemangioma on the fetal side was significantly lower than that in the maternal side. Conclusions: Placental hemangioma on the fetal surface is more common than placental hemangioma on the maternal surface. Giant placental hemangioma is more likely to occur and the tumor is detected earlier in gestation. The complications of placental hemangioma are often diverse. Tumors detected at an early gestational age (mid-trimester), huge placental hemangioma, and complications of placental hemangioma can increase the risk of premature delivery and cesarean section. |
| Keywords: | Placental Hemangioma; Complications; Premature Birth |
| DOI: | 10.57237/j.wjcm.2023.04.001 |
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Received: 11 August 2023
Accepted: 31 October 2023
Published Online: 15 November 2023
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