Gynecologic and Obstetric Pathology

Molar Implantation Site

D efinition — An abnormal early implantation site (IS) that can be identified in the setting of a molar pregnancy. Clinical Features Epidemiology Atypical molar ISs may be seen in the setting of any molar pregnancy. They are much more…

Placental Site Trophoblastic Tumor

PITFALL D efinition —A malignancy that arises from the early implantation site extravillous trophoblasts. Clinical Features Epidemiology Placental site trophoblastic tumors (PSTT) are rare and were only recognized as a malignancy in 1981. PSTT are most commonly seen following a…

Intraplacental Choriocarcinoma

PITFALL D efinition — Choriocarcinoma occurring concurrently with a normal pregnancy. Clinical Features Epidemiology Intraplacental choriocarcinoma is exceedingly rare. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are…

Choriocarcinoma

D efinition — A trophoblastic malignancy composed of syncytiotrophoblasts and cytotrophoblasts, intermediate trophoblasts of both. Clinical Features Epidemiology At least half of choriocarcinomas follow a molar pregnancy, but only 2% to 3% of complete moles are followed by a diagnosis…

Mesenchymal Dysplasia

PITFALL D efinition — An abnormally large placenta characterized by striking, cystically dilated stem villi, stromal overgrowth, and hypervascularity. Clinical Features Epidemiology Rare; case reports only. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy…

Partial Hydatidiform Mole

D efinition — Gestational trophoblastic disease in which the conceptus contains a triploid (3n) amount of genetic material (typically 1n maternal and 2n paternal). Clinical Features Epidemiology Partial moles are 10 times more common than complete moles. The risk factors…

Invasive Hydatidiform Mole

D efinition —A complete mole that invades into the underlying myometrium. Clinical Features Epidemiology Is defined as an uncommon sequel to complete mole, occurring in less than 5% of complete moles. Increased incidence has been noted in women of Asian…

Complete Hydatidiform Mole

PITFALL D efinition — An abnormal gestation in which all of the genetic material is paternally derived. Clinical Features Epidemiology Molar pregnancies have a biphasic age distribution, with increased incidence at the reproductive extremes: before age 20 and after age…

Ectopic Pregnancy

D efinition — Implantation of the embryo that occurs outside the uterine cavity or in an abnormal location within the uterus. Clinical Features Epidemiology Ectopic pregnancies account for around 2% of all documented pregnancies in the United States. Ectopic pregnancy…

Spontaneous Abortion

D efinition — Unavoidable loss of viability in the first 12 weeks. Clinical Features Epidemiology Approximately one third of clinically known pregnancies terminate in the first 12 weeks. Forty to fifty percent have a chromosomal anomaly. Twenty percent have trisomy…