path pregnancy Flashcards
4. (PA) Describe the clinical presentation and outcomes of ectopic pregnancy 5. (PA) Describe the pathogenesis, clinical and pathologic findings associated with molar pregnancies (partial, complete and invasive) 6. (PA) Describe the clinicopathologic features of gestational choriocarcinoma
presentation of ectopic pregnancy rupture
sudden onset of intense abdominal pain, and signs of acute abdomen, followed by shock
possible outcomes of ectopic pregancy
intratubal hemotoma, intraperitoneal hemorrhage, or both
main risk factor of ectopic pregnancy
chronic salpingitis
uterine mass of swollen chorionic villi, apprearing grossly as grape-like structures
hydatiform mole
mole with no fetal parts
complete
karyotype of complete mole
46 XX
karyotype of partial mole
69 XXY
mole with some normal villi
partial
highly elevated hCG mole
complete
mole with risk of subeqquent choriocarcinoma
complete
hydropic swellling of poorly vascularized chorionic villi with loose edamematous stroma
complete
villious edema is only in some of the villi
partial
irrefular scalloped margins
partial
mole with risk of uterine rupture
invasive mole
choricocarinoma arises from
gestational chorionic epithelium or totipotential cells within gonads