By Robert E. Scully MD (auth.)
The second one version of this e-book offers an across the world authorized class of ovarian tumours, together with a couple of entities that weren't incorporated within the past version, equivalent to transitional mobilephone carcinoma, small cellphone carcinoma, hepatoid carcinoma, hepatoid and glandular yolk sac tumours, and retiform Sertoli-Leydig telephone tumour. additionally incorporated within the quantity is the TNM staging approach for ovarian tumours with illustrations.
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Extra info for Histological Typing of Ovarian Tumours
Serous papillary cystic tumour of borderline malignancy. Cribriform pattern. Mucicarmine stain Fig. 8. Serous papillary cystic tumour of borderline malignancy. Microinvasion of stroma. [From Young RH, Clement PB, Scully RE (1994) The ovary. In: Sternberg SS (ed) Diagnostic surgical pathology. Raven, New York, pp 2195-2279] 59 Fig. 9. Serous papillary adenocarcinoma. Obvious stromal invasion with desmoplastic stromal reaction and calcification of many epithelial nests. [From Scully RE (1968) Classification, pathology and biologic behavior of ovarian tumors.
86, 87) A steroid cell tumour without crystals surrounded by a rim of ovarian stroma. Occasionally, degenerative changes result in the formation of spaces containing red blood cells (Fig. 87); in such cases, the tumour is sometimes mistaken for a vascular tumour. The stromal luteoma is usually accompanied by stromal hyperthecosis (focal luteinization of the stroma uninvolved by the tumour) and is typically oestrogenic. 2 Leydig cell tumour (Fig. 8~) A tumour composed exclusively of Leydig cells.
5 Choriocarcinoma (Fig. 105) A rare tumour composed of both cytotrophoblast and syncytiotrophoblast. The tumour is much more commonly present as a component of a mixed germ cell tumour than as a pure neoplasm. Besides being of germ cell origin, an ovarian choriocarcinoma may arise in an ovarian pregnancy o(,j11ay have spread to the ovary from another site in the genital tract. Very rare choriocarcinomas are not of germ cell origin but develop within surtace epithelial-stromal tumours. 6 31 Teratomas Tumours composed of tissues resembling derivatives of two or three of the embryonic layers (ectoderm, mesoderm, endoderm) or ofa single layer other than mesoderm.