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Difference between revisions of "Products of conception"
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*Chorionic villus sampling (10-12 weeks???). | *Chorionic villus sampling (10-12 weeks???). | ||
*Amniocentesis (15-16 weeks+). | *Amniocentesis (15-16 weeks+). | ||
==Gross== | |||
Fetal parts absent: | |||
*Minimum of five cassettes.<ref>URL: [https://voices.uchicago.edu/grosspathology/peds-perinatal/products-of-conception/ https://voices.uchicago.edu/grosspathology/peds-perinatal/products-of-conception/]. Accessed on: 2023 April 3.</ref> | |||
==Microscopic== | ==Microscopic== | ||
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Fallopian Tube, Right Salpingectomy: | Fallopian Tube, Right Salpingectomy: | ||
- Fallopian tube with chorionic villi (tubal pregnancy). | - Fallopian tube with chorionic villi (tubal pregnancy). | ||
</pre> | |||
<pre> | |||
Submitted as "Left Fallopian Tube and Ectopic Pregnancy", Excision: | |||
- Tubal pregnancy; Fallopian tube with chorionic villi and fetal parts. | |||
</pre> | </pre> | ||
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*The above is considered a [[critical diagnosis]]. | *The above is considered a [[critical diagnosis]]. | ||
*It should be communicated to the on call gynecologist and this communication should be documented. | *It should be communicated to the on call gynecologist and this communication should be documented. | ||
<pre> | |||
Submitted as "Products of Conception": | |||
- Decidualized endometrium with necro-inflammatory changes/degeneration, | |||
blood and fibrin. | |||
- NEGATIVE for chorionic villi, see comment. | |||
Comment: | |||
The tissue was submitted in total. | |||
The ultrasound impression (intrauterine gestational sac present) is noted. The decrease in serum beta-hCG is noted. | |||
The lack of chorionic villi on pathology is a discordance with the clinical findings. | |||
A non-exhaustive list of possible explanations includes: non-removal/retention and prior spontaneous passing. Clinical correlation is required. | |||
</pre> | |||
====Block letters==== | ====Block letters==== | ||