Difference between revisions of "Ovarian tumours"

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587 bytes added ,  17:36, 8 January 2013
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====Classification====
====Classification====
Subdivided into:<ref name=pmid15371946>{{Cite journal  | last1 = Rodriguez | first1 = IM. | last2 = Irving | first2 = JA. | last3 = Prat | first3 = J. | title = Endocervical-like mucinous borderline tumors of the ovary: a clinicopathologic analysis of 31 cases. | journal = Am J Surg Pathol | volume = 28 | issue = 10 | pages = 1311-8 | month = Oct | year = 2004 | doi =  | PMID = 15371946 }}</ref>
Subdivided into:<ref name=pmid15371946>{{Cite journal  | last1 = Rodriguez | first1 = IM. | last2 = Irving | first2 = JA. | last3 = Prat | first3 = J. | title = Endocervical-like mucinous borderline tumors of the ovary: a clinicopathologic analysis of 31 cases. | journal = Am J Surg Pathol | volume = 28 | issue = 10 | pages = 1311-8 | month = Oct | year = 2004 | doi =  | PMID = 15371946 }}</ref>
# Intestinal type mucinous borderline tumour of the ovary - most common.
# Intestinal type mucinous borderline tumour of the ovary ~ 90% of cases.
# Endocervical type mucinous borderline tumour of the ovary.
# Endocervical type mucinous borderline tumour of the ovary ~ 10% of cases.


Note:
Note:
*Clinicians don't seem to like the term ''low malignant potential''.
*Clinicians don't seem to like the term ''low malignant potential''.
===Gross===
''Intestinal type mucinous borderline tumour of the ovary'' and ''endocervical type mucinous borderline tumour of the ovary'':
*Complex multiloculated mass with mucin.
*Often large - may > 30 cm.


===Microscopic===
===Microscopic===
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Features:
Features:
*Mucinous differentiation:
*Mucinous differentiation:
**Tall [[columnar cell]]s with apical mucin.
**Tall [[columnar cell]]s with apical mucin - usu. resembles gastric foveolar epithelium.
*Layering of epithelial cells (stratification).
*Layering of epithelial cells (stratification).
**Must be <= 3 cells.<ref name=Ref_GP>{{Ref GP|416}}</ref>
**Must be <= 3 cells.<ref name=Ref_GP>{{Ref GP|416}}</ref>
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*[[Mucinous cystadenoma of the ovary]].
*[[Mucinous cystadenoma of the ovary]].
*[[Mucinous cystadenoma of the ovary]] with focal proliferation.
*[[Mucinous cystadenoma of the ovary]] with focal proliferation.
====Endocervical type mucinous borderline tumour of the ovary====
Features:<ref name=Ref_GP420>{{Ref GP|420}}</ref>
#Cells with mucinous differentiation resembling endocervical epithelium:
#*Tall [[columnar cell]]s with grey apical mucin.
#Cells with eosinophilic cytoplasm - known as "pink cells".
#Ciliated cells.


==Mucinous adenocarcinoma of the ovary==
==Mucinous adenocarcinoma of the ovary==
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