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Serious cystadenoma
• very common
• mostly unilateral
• smooth external surface
• content is generally a thin watery
serosity
• usually one cavity
• divided into simple and papillary type
• Benign
• The rate of malignant change is 35%
PATHOLOGY
PATHOLOGY
Serious cystadenocarcinomas
• very common
• mostly bilateral
• large in size
• smooth surface or papilli growing
• content is turbid or hemorrhagic
• multiple cavity
• 5-year survival rate is only 20-30%
Serious cystadenocarcinomas
PATHOLOGY
PATHOLOGY
mucinous cystadenoma
• Common
• Benign
• unilateral
• bluish white surface
• huge size
• mucin fluid in cyst is thick
contain mucoprotein or
glycoprotein.
• rate of malignancy is 5-10%
PATHOLOGY
PATHOLOGY
mucinous cystadenocarcinoma
• unilateral
• cut surface has both cystic and solid areas
• 5-year survival rate is only 40-50%
PATHOLOGY
PATHOLOGY
Teratoma (1)
• composed of 2-3 germ layers
• most part are cystic and few part is solid
• mature teratoma belongs to benign called
mature cystic teratoma or dermoid cyst
• frequently unilateral
• filled with thick yellowish greasy fluid,hair,and
sometimes tooth or bone
• rate of malignant change is 2-4%
PATHOLOGY
PATHOLOGY
Teratoma (2)
• immature teratomas are unilateral solid body
• irregular surface
• cut surface is brittle and soft like cerebral
tissue
• rate of metastases and recurrence is high
• 5-year survival rate is 20%.
PATHOLOGY
PATHOLOGY
Dysgerminoma
• malignant
• bilateral
• common in right
• round or ovoid, moderate size with smooth
surface
• cut surface is solid and grayish pink.
• very sensitive to radiation therapy
• the 5-year survival rate can reach 90%
Dysgerminoma
PATHOLOGY
PATHOLOGY
fibroma
• occur in middle aged women,
• solid,benign ,unilateral,moderate in size.
• smooth surface
• Occasionally these tumors will be associated with
ascites and pleural effusions, a situation that is
called MEIGS syndrome. These ascites and
pleural effusions will go down spontaneously after
removal of tumor.
fibroma
PATHOLOGY
PATHOLOGY
•Secondary of metastatic
carcinoma of ovary.
• primary lesion usually in GIT (gastrointestinal),
breast, genitalia(uterus,oviduct).
• Krukenberg tumor is a special metastatic
adenocarcinoma from GIT.
It is solid moderate in size.
prognosis is poor
most patients die a year after operation.
Krukenberg
tumor
PATHOLOGY
PATHOLOGY
IIa 期
Ia 期 Ib 期
或 IIb 期
腹水阳性
Ic 期 IIc 期
III 期 IV 期
前锁骨淋巴结
种植性肝转移
恶性胸膜细胞
腹腔腹膜转移
肝实质性转移
CLINICAL MANIFESTATION(1)
benign tumors
• grow slowly.
• In early stage have no symptoms, usually discovered in
gynecological examination on occasion.
• During gynecological examination we can touched
mass :
in unilateral or bilateral,
cystic or solid,
smooth surface,
moved freely,
no adhesion.
• Large tumors can push adjacent organs.
CLINICAL MANIFESTATION(2)
malignant tumors
• very insidious and silent in terms of
signs and symptoms
• appearance of symptoms often indicated
advanced stage of tumor
• grow rapidly
• symptoms generally depend on size,
histological types and complications
DIAGNOSIS
Depend on
Antigen
• age history markers
• local signs AFP
Hormone
• ultrasonic examination
markers β-
• radiological examination HCG
• cytological examination Enzyme
LDH
• laparoscopy
• tumor markers (AFP,CA-125,hCG)
R
R
DIFERENTIAL DIAGNOSIS