Volume 13, Issue 5 (7-2015)                   IJRM 2015, 13(5): 269-274 | Back to browse issues page

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Atabaki pasdar F, Khooei A, Fazel A, Rastin M, Tabasi N, Peirouvi T et al . DNA flow cytometric analysis in variable types of hydropic placentas. IJRM 2015; 13 (5) :269-274
URL: http://ijrm.ir/article-1-650-en.html
1- Department of Anatomical Sciences, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Pathology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Anatomy and Cell Biology, Mashhad University of Medical Sciences, Mashhad, Iran
4- Immunology Research Center, BuAli Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran
5- Immunology Research Center, BuAli Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran , Mahmoudim@mums.ac.ir
Abstract:   (4893 Views)
Background: Differential diagnosis between complete hydatidiform mole, partial hydatidiform mole and hydropic abortion, known as hydropic placentas is still a challenge for pathologists but it is very important for patient management.
Objective: We analyzed the nuclear DNA content of various types of hydropic placentas by flowcytometry.
Materials and Methods: DNA ploidy analysis was performed in 20 non-molar (hydropic and non-hydropic spontaneous abortions) and 20 molar (complete and partial moles), formalin-fixed, paraffin-embedded tissue samples by flow cytometry. The criteria for selection were based on the histopathologic diagnosis.
Results: Of 10 cases histologically diagnosed as complete hydatiform mole, 9 cases yielded diploid histograms, and 1 case was tetraploid. Of 10 partial hydatidiform moles, 8 were triploid and 2 were diploid. All of 20 cases diagnosed as spontaneous abortions (hydropic and non-hydropic) yielded diploid histograms.
Conclusion: These findings signify the importance of the combined use of conventional histology and ploidy analysis in the differential diagnosis of complete hydatidiform mole, partial hydatidiform mole and hydropic abortion.
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Type of Study: Original Article |

References
1. Soper JT, Mutch DG, Schink JC, American College of Obstetricians and Gynecologists. Diagnosis and treatment of gestational trophoblastic disease. Gynecol Oncol 2004; 93: 575-585. [DOI:10.1016/j.ygyno.2004.05.013]
2. Bracken MB. Incidence and etiology of hydatidiform mole: an epidemiological review. Br J Obstet Gynaecol 1987; 94: 1123-1135. [DOI:10.1111/j.1471-0528.1987.tb02311.x]
3. Steigrad SJ. Epidemiology of gestational trophoblastic diseases. Best Pract Res Clin Obstet Gynecol 2003; 17: 837-847. [DOI:10.1016/S1521-6934(03)00049-X]
4. Tham BW, Everard JE, Tidy JA, Drew D, Hancock BW. Gestational trophoblastic disease in the Asian population of Northern England and North Wales. Br J Obstet Gynaecol 2003; 110: 555-559. [DOI:10.1046/j.1471-0528.2003.01413.x]
5. Berkowitz RS, Goldstein DP. Current management of gestational trophoblastic diseases. Gynecol Oncol 2009; 112: 654-662. [DOI:10.1016/j.ygyno.2008.09.005]
6. Scoper JT, Lewis Jr, Hammond CB. Gestational trophoblastic disease. In: Hoskins WJ, Perez CA, Young RC. Principles and practice of gynecologic oncology. 2nd Ed. Lippincott-Raven, Philadelphia 1997: 1039-1077.
7. Messerli ML, Parmley T, Woodruff JD, Lilienfeld AM, Bevilacqua L, Rosenshein NB. Inter- and intra-pathologist variability in the diagnosis of gestational trophoblastic neoplasia. Obstet Gynecol 1987; 69: 622-662.
8. Howat AJ, Beck S, Fox H, Harris SC, Hill AS, Nicholson CM, et al. Can Histopathologists Reliably Diagnose Molar Malignancy? J Clin Pathol 1993; 46: 599-602. [DOI:10.1136/jcp.46.7.599]
9. Fukunaga M, Katabuchi H, Nagasaka T, Mikami Y, Minamiguchi S, Lage JM. Interobserver and intraobserver variability in the diagnosis of hydatidiform mole. Am J Surg Pathol 2005; 29: 942-947. [DOI:10.1097/01.pas.0000157996.23059.c1]
10. Kajii T, Ohama K. Androgenetic origin of hydatidiform mole. Nature 1977; 268: 633-634. [DOI:10.1038/268633a0]
11. Pattillo RA, Sasaki S, Katayama KP, Roesler M, Mattingly RF. Genesis of 46,XY hydatidiform mole. Am J Obstet Gynecol 1981; 141: 104-105. [DOI:10.1016/0002-9378(81)90684-0]
12. Rosai J. Female reproductive system-placenta. Ackerman,s surgical pathology. 10th Ed. St Louis: CV Mosby Company, 2011.
13. Lawler SD, Fisher RA, Dent J. A prospective genetic study of complete and partial hydatidiform moles. Am J Obstet Gynecol 1991; 164: 1270-1277. [DOI:10.1016/0002-9378(91)90698-Q]
14. Lage JM, Mark SD, Roberts DJ, Goldstein DP, Bernstein MR, Berkowitz RS. A flow cytometric study of 137 fresh hydropic placentas: correlation between types of hydatidiform moles and nuclear DNA ploidy. Obstet Gynecol 1992; 79: 403-416. [DOI:10.1097/00006250-199203000-00016]
15. Bentley RC. Pathology of gestational trophoblastic disease. Clin Obstet Gynecol 2003; 46: 513-522. [DOI:10.1097/00003081-200309000-00004]
16. Watanabe M, Ghazizadeh M, Konishi H, Araki T.Interphase cytogenetic and AgNOR analysis of hydatidiform moles. J Clin Pathol 1998; 51: 438-443. [DOI:10.1136/jcp.51.6.438]
17. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Spontaneous abortion. In: Williams Obstetrics. 23st Ed. New York: McGrawHill, 2010: 856-869.
18. Fukunaga M, Ushigome S, Fukunaga M, Sugishita M. Application of cytometry in diagnosis of hydatidiform moles. Mod Pathol 1993; 6: 353-359.
19. Van Oven MW, Schoots CJF, Oosterhunis JW, Keij JF, Dam-Meiring A, Huisjes HF. The use of DNA flow cytometry in the human abortions. Hum Pathol 1989; 20: 238-242. [DOI:10.1016/0046-8177(89)90130-5]
20. Hemming JD, Quirke P, Womack C, Wells M, Elston CW, Bird CC. Diagnosis of molar pregnancy and persistent trophoblastic disease by flow cytometry. J Clin Pathol 1987; 40: 615-620. [DOI:10.1136/jcp.40.6.615]
21. Lage JM, Bagg A. Hydatidiform moles: DNA flow cytometry, image analysis and selected topics in molecular biology. Histopathology 1996; 28: 379-382. [DOI:10.1046/j.1365-2559.1996.d01-429.x]
22. Szulman AE, Surti U. The syndromes of hydatidiform mole. I. Cytogenetic and morphologic correlations. Am J Obstet Gynecol 1978; 131: 665-671. [DOI:10.1016/0002-9378(78)90829-3]
23. Paradinas FJ, Browne P, Fisher RA, Foskett M, Bagshawe KD, Newlands E. A clinical, histopathological and flow cytometric study of 149 complete moles, 146 partial moles and 107 non-molar hydropic abortions. Histopathology 1996; 28: 101-110. [DOI:10.1046/j.1365-2559.1996.247295.x]
24. Hancock BW, Tidy JA. Current management of molar pregnancy. J Reprod Med 2002; 47: 347-354.
25. Osterheld M.C, Caron L, Chaubert P, Meagher-Villemure K.Combination of immunohistochemistry and ploidy analysis to assist histopathological diagnosis of molar diseases. Clin Med Pathol 2008; 1: 61-67. [DOI:10.4137/CPath.S601]
26. Atabaki F, Khooei AR, Fazel AR, Mahmoudi M, Nikravesh MR, Khaje Delui M. Diagnostic value of lectins in differentiation of molar placentas. IJBMS 2012; 15: 1140-1147.
27. Fukunaga M, Endo Y, Ushigome S. Clinicopathologic study of tetraploid hydropic villous tissues. Arch Pathol Lab Med 1996;120: 569-572.
28. Fukunaga M. Flow cytometric and clinicopathologic study of complete hydatidiform moles with special refrence to the significance of cytometric aneuploidy. Gynecol Oncol 2001; 81: 67-70. [DOI:10.1006/gyno.2000.6100]
29. Genest DR, Ruiz RE, Weremowicz S, Berkowitz RS, Goldstein DP, Dorfman DM. Do nontriploid partial hydatidiform moles exist? A histologic and flow cytometric reevaluation of nontriploid specimens. J Reprod Med 2002; 47: 363-368.
30. Nga A, Cheung Y. Patholgy of gestationl trophoblastic diseases. Best Pract Res Clin Obstet Gynaecol 2003; 17: 849-868. [DOI:10.1016/S1521-6934(03)00094-4]
31. Crips H, Burton JL, Stewart R, Wells M. Refining the diagnosis of hydatidiform mole: image ploidy analysis and p57KIP2 immunohistochemistry. Histopathology 2003; 43: 363-373. [DOI:10.1046/j.1365-2559.2003.01716.x]
32. Cera G, Fruttero A, Rua S, Comino A, Abrate M. Flow cytometric studies in spontaneous abortions. Applications in the medico-legal practice. Forensic Sci Int 1992; 54: 167-175. [DOI:10.1016/0379-0738(92)90161-O]

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