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胎盘畸胎瘤极为罕见,到目前为止,文献上仅有6例报道。现将我教研室发现的1例报告如下:患者×××,22岁,第1胎孕7~+月入院要求引产,该孕妇末次月经1994年8月6日,有轻度早孕反应,孕4~+月有胎动感,无出血,孕期内无服药物史,平素月经正常,无家族史。临床检查:T36.6℃,P82次/min,R20次/min,BP14/10kPa,宫底高 X-3Fb,胎方位 ROA,胎心?144次/min。入院后行羊膜腔内穿刺,注入2.5%利凡诺4ml,25h 后娩出1女婴(死),胎盘娩出完整,见其边缘有一赘生物,送检病理。病理检查:肉眼见送检物3.5cm×2.5cm×1.5cm,囊性,切开未见毛发。镜下见囊壁组织内含有鳞状上皮、皮肤附属器、脂肪组织、神经组织、间充质等。
Placental teratomas are extremely rare, and so far only 6 cases have been reported in the literature. Now I found a case report of the teaching room are as follows: patients × × ×, 22 years old, the first pregnancy 7 ~ + month admission requirements of induction of labor, the last menstrual period of pregnancy on August 6, 1994, mild early pregnancy reaction, pregnancy 4 ~ + Month fetal movement, no bleeding, no medication during pregnancy, usually normal menstruation, no family history. Clinical examination: T36.6 ℃, P82 times / min, R20 times / min, BP14 / 10kPa, uterus high X-3Fb, fetal position ROA, fetal heart rate? 144 times / min. After admission, amniocentesis was performed, 4% rivanoproxil was infused into the hospital, and 1 baby girl was delivered after 25 hours. The placenta was delivered intact. Pathological examination: Seeing the naked eye to send the seized goods 3.5cm × 2.5cm × 1.5cm, cystic, incised no hair. Microscope to see cyst wall tissue containing squamous epithelium, skin appendages, adipose tissue, nerve tissue, mesenchymal and so on.