阿姆斯特丹胎盘研讨会小组共识声明重新定义:基底慢性绒毛炎。

IF 3.4 3区 医学 Q1 PATHOLOGY
T Y Khong, C J Kim, B B Rogers
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引用次数: 0

摘要

病因不明的绒毛炎(VUE)可以分类为远端、近端或基底,这取决于所涉及的绒毛膜绒毛的类型。远端型受影响的是端绒毛或成熟的中间绒毛,而近端型受影响的是茎绒毛。阿姆斯特丹胎盘研讨会小组共识声明没有详述基础VUE的定义。我们回顾文献探讨实体,重点是术语,炎症浸润,累及的结构,患病率和临床意义。病变的定义不同,在具有不同病理检查指征的胎盘中,可能包括合并实质内VUE的病例,患病率从6.6%到28.3%不等;然而,仅局限于基底绒毛和近基底绒毛的VUE患病率可能低至3%。我们建议,发炎的绒毛必须清楚地识别为锚定绒毛或锚定绒毛;首选术语是基底慢性绒毛炎;当看到锚定绒毛的绒毛膜炎症,或者锚定在基底板内的绒毛时,就可以诊断出它。没有研究专门关注基底绒毛炎的临床意义;与供体卵母细胞体外受精妊娠、胎儿生长受限、妊娠高血压疾病、先兆子痫和病态附着性胎盘的关联已被一些报道,但未被其他报道证实。VUE应继续报告为实质内、基底或混合性,直到临床相关经验的积累表明这样做没有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Amsterdam Placental Workshop Group Consensus Statement definitions revisited: Basal chronic villitis.

Villitis of unknown etiology (VUE) can be categorized as distal, proximal, or basal, depending on the type of chorionic villi involved. Either terminal or mature intermediate villi are affected in the distal type, while stem villi are affected in the proximal type. The Amsterdam Placental Workshop Group Consensus Statement did not amplify on the definition of basal VUE. We review the literature to explore the entity, focusing on the terminology, inflammatory infiltrate, involved structures, prevalence, and clinical significance. The prevalence of the lesion, variously defined, in placentas with differing indications for pathological examination and which could include cases with concurrent intraparenchymal VUE ranges from 6.6 to 28.3% of VUE; however, the prevalence of VUE confined only to basal and parabasal villi could be as low as 3%. We propose that the villi that are inflamed must be clearly identified as anchoring or anchored villi; that the preferred term is basal chronic villitis; and that it is diagnosed when chorionic inflammation of anchoring villi, or of villi anchored within the basal plate is seen. No studies have looked specifically at the clinical significance of basal villitis; associations with donor oocyte IVF pregnancies, fetal growth restriction, hypertensive disorders of pregnancy, pre-eclampsia, and morbidly adherent placenta have been reported by some but not confirmed by others. VUE should continue to be reported as intraparenchymal, basal, or mixed until such time that the accumulated experience of the clinical correlates suggests there is no merit in doing so.

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来源期刊
Virchows Archiv
Virchows Archiv 医学-病理学
CiteScore
7.40
自引率
2.90%
发文量
204
审稿时长
4-8 weeks
期刊介绍: Manuscripts of original studies reinforcing the evidence base of modern diagnostic pathology, using immunocytochemical, molecular and ultrastructural techniques, will be welcomed. In addition, papers on critical evaluation of diagnostic criteria but also broadsheets and guidelines with a solid evidence base will be considered. Consideration will also be given to reports of work in other fields relevant to the understanding of human pathology as well as manuscripts on the application of new methods and techniques in pathology. Submission of purely experimental articles is discouraged but manuscripts on experimental work applicable to diagnostic pathology are welcomed. Biomarker studies are welcomed but need to abide by strict rules (e.g. REMARK) of adequate sample size and relevant marker choice. Single marker studies on limited patient series without validated application will as a rule not be considered. Case reports will only be considered when they provide substantial new information with an impact on understanding disease or diagnostic practice.
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