Académique Documents
Professionnel Documents
Culture Documents
(Prof. A. Riccardi)
CARCINOMA OF THE OVARY
Pathology. I. Histologic classification. I.
* from all cells of the ovary (epithelial,
germinal, and stromal);
* 85% = of epithelial origin (from coelomic
epithelium or mesothelium from embryonal
gonadal ridge);
* 15% = from a variety of cell types (the
tissue of origin is often identified, but some
tumors have more than one cell type)
PAR THOLOGY OF CARCI
NOMA OF THE OVARY
CARCINOMA OF THE OVARY
Histologic classification
I. Epithelial cell = 85%: III. Germ cell < 5%:
Serous; Teratoma (NOS,
dermoid cyst, struma
Mucinous; ovarii);
Endometrioid; Teratocarcinoma;
Mesonefroid (clear cell); Dysgerminoma;
Brenner; Embryonal carcinoma;
Undifferentiated; Endodermal sinus;
Carcinosarcoma; Chorioncarcinoma;
II. Stromal cell < 10%: Gonadoblastoma;
Granulosa; Mixed tumors;
Thecoma; IV. Mesenchymal cell = 2%
Arrhenoblastoma;
Sertoli;
Gynandroblastoma;
Lipoid
OVARIAN CANCER
Pathology. II. Histologic classification
II. Epithelial tumors
* benign = 50%;
- low malignant potential = 16% (tumors of
borderline malignancy, with cytologic features
of malignancy but not invading the ovarian
stroma; > 75% in early stage and in younger
women; a much better natural history than
their malignant counterpart), and
- malignant = 33%;
* histologic grade: from the most aggressive
cytologic and histologic pattern
OVARIAN CANCER
Pathology. III. Benign tumors
* 2 major subtypes: serous or mucinous;
- usually, age = 20 - 60 yrs;
- frequently large (20 - 30 cm), bilateral, and
cystic
BENIGN
OVARIAN TUMORS
pseudomucinous
cystoadenona
BENIGN
OVARIAN TUMORS
mutilocular
cystoadenoma
simple cyst
BENIGN
OVARIAN TUMORS
fibroma
with Meigs’ syndrome
OVARIAN CANCER
Pathology. IV.
Tumors of borderline malignancy
papillary
cystoadenoma
OVARIAN TUMORS
OF
BORDERLINE MALIGNANCY
papilloma
adenofibroma
cistoadenifibroma
OVARIAN CANCER
Pathology. V. Malignant tumors
* 5 major subtypes [serous (50%), mucinous
(25%), endometroid (15%), clear cell (5%), and
Brenner tumors (1%, from the urothelium)];
* usually in women > 40 yrs;
- solid masses, with necrosis and hemorrhage;
- masses > 10 - 15 cm usually spread into the
intraabdominal space, with eventually
intraabdominal carcinomatosis (leading to
bowel and renal obstruction and cachexia)
MALIGNANT
OVARIAN TUMORS
solid carcinoma
MALIGNANT
OVARIAN TUMORS
cystoadenocarcinoma
PAPILLARY CYSTOADENOCARCINOMA
OF THE OVARY
dysgerminoma
Brenner’s tumor
OVARIAN CANCER
Pathology. VI. Stromal and germ cell tumors