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Tsoy L.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kutusheva M.O.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Barinova I.V.

Moscow Regional Research Institute of Obstetrics and Gynecology

Paramonova N.B.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Lerner Yu.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Varshavskiy V.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Demura T.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Placenta increta into the scar in combination with high-grade squamous intraepithelial lesion of the cervix

Authors:

Tsoy L.V., Kutusheva M.O., Barinova I.V., Paramonova N.B., Lerner Yu.V., Varshavskiy V.A., Demura T.A.

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Journal: Russian Journal of Archive of Pathology. 2025;87(2): 64‑68

DOI: 10.17116/patol20258702164

Read: 1189 times

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Table of contents

PLACENTA INCRETA INTO THE SCAR IN COMBINATION WITH HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION OF THE CERVIX
PLACENTA INCRETA INTO THE SCAR IN COMBINATION WITH HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION OF THE CERVIX

To cite this article:

Tsoy LV, Kutusheva MO, Barinova IV, Paramonova NB, Lerner YuV, Varshavskiy VA, Demura TA. Placenta increta into the scar in combination with high-grade squamous intraepithelial lesion of the cervix. Russian Journal of Archive of Pathology. 2025;87(2):64‑68. (In Russ.)
https://doi.org/10.17116/patol20258702164

Подписка 2026 Архив патологии (Russian Journal of Archive of Pathology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Placenta increta is a pathological condition characterized by an invasion of placental tissue into the myometrium. The placenta doesn’t detach naturally after delivery and cannot be separated without pathological hemorrhage. Previous cesarean section represents the main risk factor for the occurrence of placenta accreta. Pregnancy-related tissue changes complicate the identification of co-existing diseases of the cervix and uterine body. This case report discusses the characteristics and diagnostic methods of placenta increta in combination with cervical high-grade intraepithelial neoplasia in a 35-year-old female patient.

Keywords:

placenta increta
cesarean section scar
cervical intraepithelial neoplasia
immunohistochemistry

Authors:

Tsoy L.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kutusheva M.O.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Barinova I.V.

Moscow Regional Research Institute of Obstetrics and Gynecology

Paramonova N.B.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Lerner Yu.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Varshavskiy V.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Demura T.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Received:

23.10.2024

Accepted:

18.12.2024

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References:

  1. Popek EJ. Placenta accreta. In: Heerema-McKenney A, Popek EJ, De Paepe ME, eds. Diagnostic pathology: placenta. Elsevier; 2014: 352. 
  2. Jauniaux E, Ayres-de-Campos D, Langhoff-Roos J, Fox KA, Collins S.; FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel. FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2019;146(1):20-24.  https://doi.org/10.1002/ijgo.12761
  3. Milovanov AP, Nizyaeva NV, Fokina TV, Tikhonova NB, Kulikov IA, Shmakov RG. Clinical and morphological characteristics of the atypical placentation spectrum in the uterus. Russian Journal of Archive of Pathology. 2023;85(2):13-20. (In Russ.). https://doi.org/10.17116/patol20238502113
  4. Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. The management and outcomes of placenta accreta, increta, and percreta in the UK: a population-based descriptive study. BJOG. 2014;121(1):62-70; discussion 70-1.  https://doi.org/10.1111/1471-0528.12405
  5. Ignatko IV, Davydov AI, Lebedev VA, Pashkov VM, Bakhtiyarov KR, Chilova RA. Placenta accreta spectrum: risk factors, terminology, classification, management strategies. Gynecology, Obstetrics and Perinatology. 2023;22(4):92-101. (In Russ.). https://doi.org/10.20953/1726-1678-2023-4-92-101
  6. Parra-Herran C, Djordjevic B. Histopathology of placenta creta: chorionic villi intrusion into myometrial vascular spaces and extravillous trophoblast proliferation are frequent and specific findings with implications for diagnosis and pathogenesis. Int J Gynecol Pathol. 2016;35(6):497-508.  https://doi.org/10.1097/pgp.0000000000000250
  7. Barinova IV, Kondrikov NI, Voloshchuk IN, Chechneva MA, Shchukina NA, Petrukhin VA. Features of the pathogenesis of the placenta growing in the scar after cesarean section. Russian Journal of Archive of Pathology. 2018;80(2):18-23. (In Russ.). https://doi.org/10.17116/patol201880218-23
  8. Kondrikov NI, Barinova IV. Pathology of the uterus. A doctor’s guide. 2nd ed. Moscow: Prakticheskaya Meditsina; 2019. 352p. (In Russ.).
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