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Trophoblast and Stroma: Vacuolation—Inherited Disorder of Metabolism

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Pathology of the Placenta

Abstract

The incidence of inherited errors of metabolism ranges from 1 in 50,000 to 1 in 150,000. Although any given inborn error of metabolism is very rare, taken as a group, inborn errors occur in 1 in 2500 births. Most cases present with fetal and/or placental hydrops. Recognising vacuolation within the trophoblast of the placenta may prompt focused investigation for specific gene mutations involved in specific inborn errors of metabolism. This chapter aims to distinguish between the different types of vacuolation which may be seen in the placenta on microscopy and outline the possible diagnoses which should be considered. This may allow for prompt detection of such disorders and novel approaches to therapy.

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References

  1. Powell HC, Benirschke K, Favara BE, Pflueger OH. Foamy changes of placental cells in fetal storage disorders. Virchows Arch A Pathol Anat Histol. 1976;369:191–6.

    Article  CAS  Google Scholar 

  2. Kostadinov S, Shah BA, Alroy J, Phornphutkul C. A case of galactosialidosis with novel mutations of the protective protein/cathepsin a gene: diagnosis prompted by trophoblast vacuolization on placental examination. Pediatr Dev Pathol. 2014;17:474–7.

    Article  Google Scholar 

  3. Roberts DJ, Ampola MG, Lage JM. Diagnosis of unsuspected fetal metabolic storage disease by routine placental examination. Pediatr Pathol. 1991;11:647–56.

    Article  CAS  Google Scholar 

  4. Rapola J, Aula P. Morphology of the placenta in fetal I-cell disease. Clin Genet. 1977;11:107–13.

    Article  CAS  Google Scholar 

  5. Hale LP, van de Ven CJ, Wenger DA, Bradford WD, Kahler SG. Infantile sialic acid storage disease: a rare cause of cytoplasmic vacuolation in pediatric patients. Pediatr Pathol Lab Med. 1995;15:443–53.

    Article  CAS  Google Scholar 

  6. Brunetti-Pierri N, Mian A, Luetchke R, Graham BH. Intrauterine growth retardation and placental vacuolization as presenting features in a case of GM1 gangliosidosis. J Inherit Metab Dis. 2007;3:823.

    Article  Google Scholar 

  7. Bendon RW, Hug G. Morphologic characteristics of the placenta in glycogen storage disease type II (alpha-1,4-glucosidase deficiency). Am J Obstet Gynecol. 1985;152:1021–6.

    Article  CAS  Google Scholar 

  8. Jones CJ, Lendon M, Chawner LE, Jauniaux E. Ultrastructure of the human placenta in metabolic storage disease. Placenta. 1990;11:395–411.

    Article  CAS  Google Scholar 

  9. Fowler DJ, Anderson G, Vellodi A, Malone M, Sebire NJ. Electron microscopy of chorionic villus samples for prenatal diagnosis of lysosomal storage disorders. Ultrastruct Pathol. 2007;31:15–21.

    Article  CAS  Google Scholar 

  10. Yeh IT, O’Connor DM, Kurman RJ. Vacuolated cytotrophoblast: a subpopulation of trophoblast in the chorion laeve. Placenta. 1989;10:429–38.

    Article  CAS  Google Scholar 

  11. Ariel IB, Landing BH. A possibly distinctive vacuolar change of the amniotic epithelium associated with gastroschisis. Pediatr Pathol. 1985;3:283–9.

    Article  CAS  Google Scholar 

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Correspondence to Margaret J. Evans .

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Evans, M.J., Anderson, G., Sebire, N.J. (2019). Trophoblast and Stroma: Vacuolation—Inherited Disorder of Metabolism. In: Khong, T., Mooney, E., Nikkels, P., Morgan, T., Gordijn, S. (eds) Pathology of the Placenta. Springer, Cham. https://doi.org/10.1007/978-3-319-97214-5_20

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  • DOI: https://doi.org/10.1007/978-3-319-97214-5_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97213-8

  • Online ISBN: 978-3-319-97214-5

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