Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma
We employed color Doppler score as an innovative approach for the prenatal diagnosis and monitoring of a large placental chorioangioma case diagnosed at 26 weeks and the subjective semiquantitative assessment of the vascularization. The blood flow was assessed by a color Doppler score based on the i...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/723429 |
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| author | Maria Angelica Zoppi Alessandra Piras Ambra Iuculano Maurizio Arras Federica Mulas Maria Carmela Fadda Sergio Cossu Giovanni Monni |
| author_facet | Maria Angelica Zoppi Alessandra Piras Ambra Iuculano Maurizio Arras Federica Mulas Maria Carmela Fadda Sergio Cossu Giovanni Monni |
| author_sort | Maria Angelica Zoppi |
| collection | DOAJ |
| description | We employed color Doppler score as an innovative approach for the prenatal diagnosis and monitoring of a large placental chorioangioma case diagnosed at 26 weeks and the subjective semiquantitative assessment of the vascularization. The blood flow was assessed by a color Doppler score based on the intensity of the color signal with the following value ranges: (1) no flow, (2) minimal flow, (3) moderate flow, and (4) high vascular flow. Weekly examinations were programmed. Initially, a color Doppler score 3 was assigned, remaining unchanged at the following two exams and decreasing to Score 2 in the following 2 exams and to Score 1 thereafter. The ultrasonographic scan showed an increase of the mass size at the second and third exams and was followed by an arrest of the growth persisting for the rest of the pregnancy. Some hyperechogenic spots inside the mass appeared at the end. Expectant management was opted for, and the delivery was at 39, 2 weeks and maternal and fetal outcomes were favourable. The color Doppler score employed for assessment of vascularization in successive examinations proved to be an important tool for the prediction of the chorioangioma involution, and this new approach of monitoring allowed effective surveillance and successful tailored management. |
| format | Article |
| id | doaj-art-74c2d1db10a94c118a2aa28769155cf9 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-74c2d1db10a94c118a2aa28769155cf92025-02-03T01:03:32ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/723429723429Color Doppler Score: A New Approach for Monitoring a Large Placental ChorioangiomaMaria Angelica Zoppi0Alessandra Piras1Ambra Iuculano2Maurizio Arras3Federica Mulas4Maria Carmela Fadda5Sergio Cossu6Giovanni Monni7Department of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalyDepartment of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalyDepartment of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalyDepartment of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalyDepartment of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalySan Francesco Hospital, Mannironi Street, 08100 Nuoro, ItalySan Francesco Hospital, Mannironi Street, 08100 Nuoro, ItalyDepartment of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Microcitemico Hospital, Jenner Street, 09121 Cagliari, ItalyWe employed color Doppler score as an innovative approach for the prenatal diagnosis and monitoring of a large placental chorioangioma case diagnosed at 26 weeks and the subjective semiquantitative assessment of the vascularization. The blood flow was assessed by a color Doppler score based on the intensity of the color signal with the following value ranges: (1) no flow, (2) minimal flow, (3) moderate flow, and (4) high vascular flow. Weekly examinations were programmed. Initially, a color Doppler score 3 was assigned, remaining unchanged at the following two exams and decreasing to Score 2 in the following 2 exams and to Score 1 thereafter. The ultrasonographic scan showed an increase of the mass size at the second and third exams and was followed by an arrest of the growth persisting for the rest of the pregnancy. Some hyperechogenic spots inside the mass appeared at the end. Expectant management was opted for, and the delivery was at 39, 2 weeks and maternal and fetal outcomes were favourable. The color Doppler score employed for assessment of vascularization in successive examinations proved to be an important tool for the prediction of the chorioangioma involution, and this new approach of monitoring allowed effective surveillance and successful tailored management.http://dx.doi.org/10.1155/2014/723429 |
| spellingShingle | Maria Angelica Zoppi Alessandra Piras Ambra Iuculano Maurizio Arras Federica Mulas Maria Carmela Fadda Sergio Cossu Giovanni Monni Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma Case Reports in Obstetrics and Gynecology |
| title | Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma |
| title_full | Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma |
| title_fullStr | Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma |
| title_full_unstemmed | Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma |
| title_short | Color Doppler Score: A New Approach for Monitoring a Large Placental Chorioangioma |
| title_sort | color doppler score a new approach for monitoring a large placental chorioangioma |
| url | http://dx.doi.org/10.1155/2014/723429 |
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