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Difference between revisions of "Ovarian tumours"
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→Peritoneal implants: expand
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==Peritoneal implants== | ==Peritoneal implants== | ||
===General=== | ===General=== | ||
*In the setting of borderline | *In the setting of [[serous borderline tumour]]s there is much ado about implants. | ||
====Classification==== | ====Classification==== | ||
There are two types:<ref name=pmid17727474>{{Cite journal | last1 = Stewart | first1 = CJ. | last2 = Brennan | first2 = BA. | last3 = Crook | first3 = ML. | last4 = Russell | first4 = P. | title = Value of elastin staining in the assessment of peritoneal implants associated with ovarian serous borderline tumours. | journal = Histopathology | volume = 51 | issue = 3 | pages = 313-21 | month = Sep | year = 2007 | doi = 10.1111/j.1365-2559.2007.02789.x | PMID = 17727474 }}</ref> | There are two types:<ref name=pmid17727474>{{Cite journal | last1 = Stewart | first1 = CJ. | last2 = Brennan | first2 = BA. | last3 = Crook | first3 = ML. | last4 = Russell | first4 = P. | title = Value of elastin staining in the assessment of peritoneal implants associated with ovarian serous borderline tumours. | journal = Histopathology | volume = 51 | issue = 3 | pages = 313-21 | month = Sep | year = 2007 | doi = 10.1111/j.1365-2559.2007.02789.x | PMID = 17727474 }}</ref> | ||
#Non-invasive implants. | #Non-invasive implants. | ||
#*Subdivided into: | #*Subdivided into: | ||
#*#Epithelial. | #*#Epithelial. | ||
#*#Desmoplastic. | #*#Desmoplastic. | ||
#Invasive implants -- malignant cells within the stromal. | #Invasive implants -- malignant cells within the stromal. | ||
Notes: | Notes: | ||
*Invasive implants are significant clinically. | *Invasive implants are significant clinically. | ||
*Non-invasive implants have little clinical significance. | *Non-invasive implants have little clinical significance. | ||
===Microscopic=== | |||
Features (non-invasive implants): | |||
*May look like lymphovascular invasion. | |||
===Stains=== | |||
*Elastin stain:<ref name=pmid17727474/> | |||
**Non-invasive implants are sit superficial to the peritoneal elastic lamina (PEL). | |||
**Invasive implants are deep to the PEL. | |||
Note: | |||
*Elastin layer is '''not''' present in the omentum. | |||
===IHC=== | |||
*Elastin stain. | |||
=Surface epithelial tumours= | =Surface epithelial tumours= | ||