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Difference between revisions of "Placenta"
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→Hypertensive changes
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=Maternal disease= | =Maternal disease= | ||
==Hypertensive changes== | ==Hypertensive changes== | ||
===General=== | |||
Associated pathologic changes:<ref name=pmid6754249>{{cite journal |author=Soma H, Yoshida K, Mukaida T, Tabuchi Y |title=Morphologic changes in the hypertensive placenta |journal=Contrib Gynecol Obstet |volume=9 |issue= |pages=58–75 |year=1982 |pmid=6754249 |doi= |url=}}</ref> | |||
*Placental infarcts. | *Placental infarcts. | ||
*Increased syncytial knots. | *Increased syncytial knots. | ||
| Line 607: | Line 604: | ||
*Thickening of the trophoblastic basement membrane. | *Thickening of the trophoblastic basement membrane. | ||
===Hypertrophic decidual vasculopathy=== | ===Microscopic=== | ||
Features:<ref name=pmid6754249>{{cite journal |author=Soma H, Yoshida K, Mukaida T, Tabuchi Y |title=Morphologic changes in the hypertensive placenta |journal=Contrib Gynecol Obstet |volume=9 |issue= |pages=58–75 |year=1982 |pmid=6754249 |doi= |url=}}</ref> | |||
*Enlarged endothelial cells - fetal capillaries. | |||
*Atherosis of the spiral arteries - placental bed (maternal). | |||
Notes: | |||
*One should look for the changes in the membrane roll, not the maternal surface.<ref>CS. 7 February 2011.</ref> | |||
==Hypertrophic decidual vasculopathy== | |||
===General=== | |||
*A change seen in hypertension. | |||
===Microscopic=== | |||
Features:<ref name=pmid18641412>{{Cite journal | last1 = Roberts | first1 = DJ. | last2 = Post | first2 = MD. | title = The placenta in pre-eclampsia and intrauterine growth restriction. | journal = J Clin Pathol | volume = 61 | issue = 12 | pages = 1254-60 | month = Dec | year = 2008 | doi = 10.1136/jcp.2008.055236 | PMID = 18641412 }}</ref> | Features:<ref name=pmid18641412>{{Cite journal | last1 = Roberts | first1 = DJ. | last2 = Post | first2 = MD. | title = The placenta in pre-eclampsia and intrauterine growth restriction. | journal = J Clin Pathol | volume = 61 | issue = 12 | pages = 1254-60 | month = Dec | year = 2008 | doi = 10.1136/jcp.2008.055236 | PMID = 18641412 }}</ref> | ||
*Mild or moderate: | *Mild or moderate: | ||