Difference between revisions of "Ovary"
Jump to navigation
Jump to search
m (→Cysts: format) |
(mv inclusion cyst to here) |
||
| Line 43: | Line 43: | ||
For a ''very'' brief overview of gynecologic tumours see: ''[[Gynecologic pathology]]''. | For a ''very'' brief overview of gynecologic tumours see: ''[[Gynecologic pathology]]''. | ||
==Benign mesothelial inclusion cyst== | |||
===Epidemiology=== | |||
*Assoc. with previous surgery. | |||
*May be found incidentally, e.g. during C-section. | |||
===Gross=== | |||
*May mimic mucinous tumour - to unexperienced.<ref>GAG 26 Feb 2009.</ref> | |||
*Thin-wall.<ref name=pmid16092670>{{cite journal |author=Urbanczyk K, Skotniczny K, Kucinski J, Friediger J |title=Mesothelial inclusion cysts (so-called benign cystic mesothelioma)--a clinicopathological analysis of six cases |journal=Pol J Pathol |volume=56 |issue=2 |pages=81-7 |year=2005 |pmid=16092670 |doi= |url=}}</ref> | |||
*Clear/translucent fluid. | |||
===Microscopic=== | |||
Features: | |||
*Benign mesothelium. | |||
**Single layer of squamoid or cuboid mesothelial cells.<ref name=pmid16092670/> | |||
===[[IHC]]=== | |||
*[[CK]] +ve, [[calretinin]] +ve.<ref name=pmid16092670/> | |||
==See also== | ==See also== | ||
Revision as of 02:13, 10 August 2011
The ovary has a wealth of pathology. It has benign tumours and malignant ones.
Normal
- Corpora albicans - pale/white body with lobulated contour.
- Ovarian follicles.
- Stroma - hyperchromatic - spindle morphology, whorling.
- If the cells have a round morphology... think about endometriosis.
Micrograph
Cysts
General:
- Very common.
Most common:
- Serous cystadenoma.
- Usually uniloculated.
- Morphology: ciliated, columnar.
- Mucinous cystadenoma.
- Usually multiloculated.[1]
- Memory device: multiloculated = mucinous.
- Usually multiloculated.[1]
- Endometrioma (see endometriosis).
- Simple cyst.
- Cancerous cyst (see ovarian cancer).
Notes
- Epithelium is often lost in processing - may make interpretation challenging
- Ovarian surface epithelium (previously call germinal epithelium) - covers the ovary
Ovarian surface vs. mesothelium:
- Image: ovarian surface epithelium - endojournals.org.
- Image: mesothelium - internetattitude.com.
Endometriosis
Main article: Endometriosis
Ovarian tumours
Main article: Ovarian tumours
For a very brief overview of gynecologic tumours see: Gynecologic pathology.
Benign mesothelial inclusion cyst
Epidemiology
- Assoc. with previous surgery.
- May be found incidentally, e.g. during C-section.
Gross
Microscopic
Features:
- Benign mesothelium.
- Single layer of squamoid or cuboid mesothelial cells.[5]
IHC
- CK +ve, calretinin +ve.[5]
See also
References
- ↑ IAV. 6 February 2009.
- ↑ Auersperg N, Wong AS, Choi KC, Kang SK, Leung PC (April 2001). "Ovarian surface epithelium: biology, endocrinology, and pathology". Endocr. Rev. 22 (2): 255–88. PMID 11294827. http://edrv.endojournals.org/cgi/pmidlookup?view=long&pmid=11294827.
- ↑ ALS. 5 February 2009.
- ↑ GAG 26 Feb 2009.
- ↑ 5.0 5.1 5.2 Urbanczyk K, Skotniczny K, Kucinski J, Friediger J (2005). "Mesothelial inclusion cysts (so-called benign cystic mesothelioma)--a clinicopathological analysis of six cases". Pol J Pathol 56 (2): 81-7. PMID 16092670.