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Abnormal (Nonmolar) Villous Lesions, Pathology of the Placenta

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Encyclopedia of Pathology

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Definition

Abnormal (nonmolar) villous lesion refers to a spectrum of nonmolar settings (hydropic degeneration or nonmolar fetal aneuploidy) in which a gestation exhibits chorionic villous architectural alterations that mimic partial hydatidiform mole (PHM) and/or early first trimester complete hydatidiform mole (CHM) (Fig. 1).

Fig. 1
figure 1

The chorionic villi of this non-molar gestation with fetal aneuploidy exhibit irregular contours and variable enlargement that may mimic molar pregnancy but there is no trophoblast proliferation or other classic features of molar pregnancy

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References

  • Colgan, T. J., Chang, M. C., Nanji, S., & Kolomietz, E. (2017). DNA genotyping of suspected partial Hydatidiform moles detects clinically significant aneuploidy. International Journal of Gynecological Pathology, 36, 217–221.

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  • Vang, R., Gupta, M., Wu, L. S., Yemelyanova, A. V., Kurman, R. J., Murphy, K. M., Descipio, C., & Ronnett, B. M. (2012). Diagnostic reproducibility of hydatidiform moles: Ancillary techniques (p57 immunohistochemistry and molecular genotyping) improve morphologic diagnosis. The American Journal of Surgical Pathology, 36, 443–453.

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  • WHO Classification of Tumours Editorial Board. (2020). Female genital tumours. Lyon (France): International Agency for Research on Cancer. (WHO classification of tumours series, 5th ed.; vol. 4). https://publications.iarc.fr/592.

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Correspondence to Joseph Rabban .

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Rabban, J. (2022). Abnormal (Nonmolar) Villous Lesions, Pathology of the Placenta. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5687-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_5687-1

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