Complete Hydatidiform Mole with a Coexisting Viable Male Fetus Detected by Cell-Free DNA.

IF 0.8 Q4 PEDIATRICS
AJP Reports Pub Date : 2023-09-30 eCollection Date: 2023-07-01 DOI:10.1055/s-0043-1774727
Mackenzie Lemieux, Lauren Kus, Kali Stewart, Mai He, Jackson Rowe, Matthew Brady, Katherine Bligard, Megan Lawlor, Jeannie Kelly
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引用次数: 0

Abstract

Complete hydatidiform mole with coexisting fetus (CHMCF) is rare, and diagnosis is challenging due to limited data. Here, we present the case of a patient with noninvasive prenatal test (NIPT) resulting in "likely molar pregnancy" in the second trimester. Subsequent ultrasound confirmed a cystic appearing portion of the placenta. At 22 weeks, the patient delivered a demised fetus and two placentas. Pathology was consistent with CHMCF. This case is the first to show primary detection of a CHMCF with single-nucleotide polymorphism (SNP)-based NIPT prior to ultrasound identification. Our case suggests the use of SNP-based NIPT as an alternative noninvasive method to guide shared decision-making and clinical management for patients with this diagnosis.

用无细胞DNA检测具有共存存活男性胎儿的完全葡萄胎。
胎儿并存的完全性葡萄胎(CHMCF)是罕见的,由于数据有限,诊断具有挑战性。在这里,我们介绍了一例患者在妊娠中期进行无创产前检查(NIPT),导致“可能的磨牙妊娠”。随后的超声波检查证实胎盘出现囊性病变。22周时,患者产下一个胎儿和两个胎盘。病理学与CHMCF一致。该病例首次显示在超声鉴定之前,以单核苷酸多态性(SNP)为基础的NIPT对CHMCF进行了初步检测。我们的案例表明,使用基于SNP的NIPT作为一种替代的非侵入性方法,来指导该诊断患者的共同决策和临床管理。
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来源期刊
AJP Reports
AJP Reports PEDIATRICS-
CiteScore
2.20
自引率
0.00%
发文量
30
审稿时长
12 weeks
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