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Chorioangioma
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Placental mass composed of capillaries, cellular stroma, and trophoblast
              • Reactive proliferation, not true neoplasm

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Al Wattar BH et al: Placenta chorioangioma: a rare case and systematic review of literature. J Matern Fetal Neonatal Med. 27(10):1055-63, 2014
                                    2. Fan M et al: A rare giant placental chorioangioma with favorable outcome: A case report and review of the literature. J Clin Ultrasound. ePub, 2014
                                    3. Fan M et al: Placental chorioangioma: literature review. J Perinat Med. 42(3):273-9, 2014
                                    4. Jarcevic R et al: Placental chorioangioma. J Obstet Gynaecol Can. 36(3):201-2, 2014
                                    5. Liu H et al: Natural history and pregnancy outcome in patients with placental chorioangioma. J Clin Ultrasound. 42(2):74-80, 2014
                                    6. Kesrouani AK et al: Rapid evolution of placental chorioangioma: natural progression and outcome. J Ultrasound Med. 32(3):545-7, 2013
                                    7. Babic I et al: Antenatal embolization of a large placental chorioangioma: a case report. J Med Case Rep. 6:183, 2012
                                    8. Jones K et al: Fetoscopic laser photocoagulation of feeding vessels to a large placental chorioangioma following fetal deterioration after amnioreduction. Fetal Diagn Ther. 31(3):191-5, 2012
                                    9. Hata T et al: Three-dimensional ultrasound evaluation of the placenta. Placenta. 32(2):105-15, 2011
                                    10. Wou K et al: Pregnancy outcomes and ultrasonographic diagnosis in patients with histologically-proven placental chorioangioma. Placenta. 32(9):671-4, 2011
                                    11. Zanardini C et al: Giant placental chorioangioma: natural history and pregnancy outcome. Ultrasound Obstet Gynecol. 35(3):332-6, 2010
                                    12. Kondi-Pafiti A et al: Placental chorioangioma and chorioangiosis. clinicopathological study of six unusual vascular lesions of the placenta--case reports. Clin Exp Obstet Gynecol. 36(4):268-70, 2009
                                    13. Mendez-Figueroa H et al: Endoscopic laser coagulation following amnioreduction for the management of a large placental chorioangioma. Prenat Diagn. 29(13):1277-8, 2009
                                    14. Sepulveda W et al: Endoscopic laser coagulation of feeding vessels in large placental chorioangiomas: report of three cases and review of invasive treatment options. Prenat Diagn. 29(3):201-6, 2009
                                    15. Das S et al: Perinatal cerebral arterial infarction associated with a placental chorioangioma. Am J Perinatol. 25(6):381-3, 2008
                                    16. Ozer EA et al: Chorioangiomatosis presenting with severe anemia and heart failure in a newborn. Fetal Diagn Ther. 23(1):5-6, 2008
                                    17. Taori K et al: Chorioangioma of placenta: sonographic features. J Clin Ultrasound. 36(2):113-5, 2008
                                    18. Bermúdez C et al: Management of a placental chorioangioma with endoscopic devascularization and intrauterine transfusions. Ultrasound Obstet Gynecol. 29(1):97-8, 2007
                                    19. Kirkpatrick AD et al: Best cases from the AFIP: Placental chorioangioma. Radiographics. 27(4):1187-90, 2007
                                    20. Russell RT et al: Diffuse placental chorioangiomatosis and fetal hydrops. Fetal Diagn Ther. 22(3):183-5, 2007
                                    21. Schmitz T et al: Severe transient cardiac failure caused by placental chorangiosis. Neonatology. 91(4):271-4, 2007
                                    22. Quarello E et al: Prenatal laser treatment of a placental chorioangioma. Ultrasound Obstet Gynecol. 25(3):299-301, 2005
                                    23. Bakaris S et al: Case of large placental chorioangioma associated with diffuse neonatal hemangiomatosis. Pediatr Dev Pathol. 7(3):258-61, 2004
                                    24. Shih JC et al: Quantitative three-dimensional power Doppler ultrasound predicts the outcome of placental chorioangioma. Ultrasound Obstet Gynecol. 24(2):202-6, 2004
                                    25. Wehrens XH et al: Fetal cardiovascular response to large placental chorioangiomas. J Perinat Med. 32(2):107-12, 2004
                                    26. Guschmann M et al: Chorioangioma--new insights into a well-known problem. I. Results of a clinical and morphological study of 136 cases. J Perinat Med. 31(2):163-9, 2003
                                    27. Hamill N et al: Prenatal diagnosis and management of fetal anemia secondary to a large chorioangioma. Obstet Gynecol. 102(5 Pt 2):1185-8, 2003
                                    28. Sepulveda W et al: Perinatal outcome after prenatal diagnosis of placental chorioangioma. Obstet Gynecol. 102(5 Pt 1):1028-33, 2003
                                    29. Jauniaux E et al: Color Doppler imaging in the diagnosis and management of chorioangiomas. Ultrasound Obstet Gynecol. 15(6):463-7, 2000
                                    30. Kawamotoa S et al: Chorioangioma: antenatal diagnosis with fast MR imaging. Magn Reson Imaging. 18(7):911-4, 2000
                                    31. Reshetnikova OS et al: Increased incidence of placental chorioangioma in high-altitude pregnancies: hypobaric hypoxia as a possible etiologic factor. Am J Obstet Gynecol. 174(2):557-61, 1996
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Placental mass composed of capillaries, cellular stroma, and trophoblast
                                                • Reactive proliferation, not true neoplasm

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Al Wattar BH et al: Placenta chorioangioma: a rare case and systematic review of literature. J Matern Fetal Neonatal Med. 27(10):1055-63, 2014
                                                                      2. Fan M et al: A rare giant placental chorioangioma with favorable outcome: A case report and review of the literature. J Clin Ultrasound. ePub, 2014
                                                                      3. Fan M et al: Placental chorioangioma: literature review. J Perinat Med. 42(3):273-9, 2014
                                                                      4. Jarcevic R et al: Placental chorioangioma. J Obstet Gynaecol Can. 36(3):201-2, 2014
                                                                      5. Liu H et al: Natural history and pregnancy outcome in patients with placental chorioangioma. J Clin Ultrasound. 42(2):74-80, 2014
                                                                      6. Kesrouani AK et al: Rapid evolution of placental chorioangioma: natural progression and outcome. J Ultrasound Med. 32(3):545-7, 2013
                                                                      7. Babic I et al: Antenatal embolization of a large placental chorioangioma: a case report. J Med Case Rep. 6:183, 2012
                                                                      8. Jones K et al: Fetoscopic laser photocoagulation of feeding vessels to a large placental chorioangioma following fetal deterioration after amnioreduction. Fetal Diagn Ther. 31(3):191-5, 2012
                                                                      9. Hata T et al: Three-dimensional ultrasound evaluation of the placenta. Placenta. 32(2):105-15, 2011
                                                                      10. Wou K et al: Pregnancy outcomes and ultrasonographic diagnosis in patients with histologically-proven placental chorioangioma. Placenta. 32(9):671-4, 2011
                                                                      11. Zanardini C et al: Giant placental chorioangioma: natural history and pregnancy outcome. Ultrasound Obstet Gynecol. 35(3):332-6, 2010
                                                                      12. Kondi-Pafiti A et al: Placental chorioangioma and chorioangiosis. clinicopathological study of six unusual vascular lesions of the placenta--case reports. Clin Exp Obstet Gynecol. 36(4):268-70, 2009
                                                                      13. Mendez-Figueroa H et al: Endoscopic laser coagulation following amnioreduction for the management of a large placental chorioangioma. Prenat Diagn. 29(13):1277-8, 2009
                                                                      14. Sepulveda W et al: Endoscopic laser coagulation of feeding vessels in large placental chorioangiomas: report of three cases and review of invasive treatment options. Prenat Diagn. 29(3):201-6, 2009
                                                                      15. Das S et al: Perinatal cerebral arterial infarction associated with a placental chorioangioma. Am J Perinatol. 25(6):381-3, 2008
                                                                      16. Ozer EA et al: Chorioangiomatosis presenting with severe anemia and heart failure in a newborn. Fetal Diagn Ther. 23(1):5-6, 2008
                                                                      17. Taori K et al: Chorioangioma of placenta: sonographic features. J Clin Ultrasound. 36(2):113-5, 2008
                                                                      18. Bermúdez C et al: Management of a placental chorioangioma with endoscopic devascularization and intrauterine transfusions. Ultrasound Obstet Gynecol. 29(1):97-8, 2007
                                                                      19. Kirkpatrick AD et al: Best cases from the AFIP: Placental chorioangioma. Radiographics. 27(4):1187-90, 2007
                                                                      20. Russell RT et al: Diffuse placental chorioangiomatosis and fetal hydrops. Fetal Diagn Ther. 22(3):183-5, 2007
                                                                      21. Schmitz T et al: Severe transient cardiac failure caused by placental chorangiosis. Neonatology. 91(4):271-4, 2007
                                                                      22. Quarello E et al: Prenatal laser treatment of a placental chorioangioma. Ultrasound Obstet Gynecol. 25(3):299-301, 2005
                                                                      23. Bakaris S et al: Case of large placental chorioangioma associated with diffuse neonatal hemangiomatosis. Pediatr Dev Pathol. 7(3):258-61, 2004
                                                                      24. Shih JC et al: Quantitative three-dimensional power Doppler ultrasound predicts the outcome of placental chorioangioma. Ultrasound Obstet Gynecol. 24(2):202-6, 2004
                                                                      25. Wehrens XH et al: Fetal cardiovascular response to large placental chorioangiomas. J Perinat Med. 32(2):107-12, 2004
                                                                      26. Guschmann M et al: Chorioangioma--new insights into a well-known problem. I. Results of a clinical and morphological study of 136 cases. J Perinat Med. 31(2):163-9, 2003
                                                                      27. Hamill N et al: Prenatal diagnosis and management of fetal anemia secondary to a large chorioangioma. Obstet Gynecol. 102(5 Pt 2):1185-8, 2003
                                                                      28. Sepulveda W et al: Perinatal outcome after prenatal diagnosis of placental chorioangioma. Obstet Gynecol. 102(5 Pt 1):1028-33, 2003
                                                                      29. Jauniaux E et al: Color Doppler imaging in the diagnosis and management of chorioangiomas. Ultrasound Obstet Gynecol. 15(6):463-7, 2000
                                                                      30. Kawamotoa S et al: Chorioangioma: antenatal diagnosis with fast MR imaging. Magn Reson Imaging. 18(7):911-4, 2000
                                                                      31. Reshetnikova OS et al: Increased incidence of placental chorioangioma in high-altitude pregnancies: hypobaric hypoxia as a possible etiologic factor. Am J Obstet Gynecol. 174(2):557-61, 1996