Trophoblastic disease of the placental bed in the practice of a gynecologist. Case report

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Trophoblastic disease is a rare condition. Obstetrician-gynecologists are usually aware of simple hydatidiform mole, invasive mole, and chorioepithelioma. Practitioners are significantly less aware of diseases associated with tumor transformation of the intermediate trophoblast. Such rare forms of trophoblastic disease are almost impossible to diagnose clinically. The morphological differential diagnosis is also quite challenging. Attention to detail and methodical examination of the specimen using various methods ranging from routine staining methods to immunohistochemistry and molecular and cytogenetic typing make it possible to establish the correct diagnosis and choose an effective therapeutic strategy. The article describes a rare clinical case of successfully morphologically diagnosed placental bed involvement, which was manifested by abnormal uterine bleeding in a 26-year-old patient.

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Igor Fadeev

Russian Medical Academy of Continuous Professional Education; Davidovsky City Clinical Hospital; Research Institute for Healthcare Organization and Medical Management

编辑信件的主要联系方式.
Email: iefadeev@mail.ru
ORCID iD: 0000-0002-0881-0740
SPIN 代码: 2732-0602

Cand. Sci. (Med.), Russian Medical Academy of Continuous Professional Education, Davidovsky City Clinical Hospital, Research Institute for Healthcare Organization and Medical Management

俄罗斯联邦, Moscow; Moscow; Moscow

Tatiana Sotnikova

Davidovsky City Clinical Hospital

Email: docsotnikova@mail.ru
ORCID iD: 0000-0002-6482-1110
SPIN 代码: 4609-6164

Department Head

俄罗斯联邦, Moscow

Еvgenii Bruzgin

Davidovsky City Clinical Hospital

Email: dr.bruzgin@yandex.ru
ORCID iD: 0000-0003-2189-8975
SPIN 代码: 1068-0112

Department Head

俄罗斯联邦, Moscow

Tatiana Poletova

Russian Medical Academy of Continuous Professional Education

Email: iefadeev@mail.ru
ORCID iD: 0000-0003-1131-477X
SPIN 代码: 2947-5215

Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Tatiana Polushkina

Davidovsky City Clinical Hospital

Email: drpolushkina@mail.ru
ORCID iD: 0000-0001-7458-991X

pathologist

俄罗斯联邦, Moscow

参考

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1. JATS XML
2. Fig. 1. Trophoblast cells with large hyperchromic nuclei, separating muscle fibers of the myometrium. Hematoxylin and eosin staining. ×20.

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3. Fig. 2. Fused trophoblast cells with formation of layers, demonstrating pronounced nuclear polymorphism. Hematoxylin and eosin staining. ×20.

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4. Fig. 3. Ki-67 (MIB-1 DAKO clone) evaluated in “hot spots” was 30%. ×40. 

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