DNA flow cytometric analysis in variable types of hydropic placentas

DNA flow cytometric analysis in variable types of hydropic placentas

pasdar, Fatemeh Atabaki;Khooei, Alireza;Fazel, Alireza;Rastin, Maryam;Tabasi, Nafise;Peirouvi, Tahmineh;Mahmoudi, Mahmoud;
iranian journal of reproductive medicine 2015 Vol. 13 pp. 269-274
405
pasdar2015dnairanian

Abstract

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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