2.3.3 Pathology of the Ovaries II Flashcards
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Mature cystic teratoma with malignant transformation
Struma ovarii
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Thyroid carcinoma in ovary tissue - struma ovarii
Type of teratoma
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Choriocarcinoma - some of these have hCG staining
What are the characteristics of Metastatic ovarian tumors?
Usually bilateral
Comes from the breast, colon or stomach
What are the characteristics of Fibroma?
Gorling Syndrome (basal cell nevus syndrome)
Meig’s syndrome - Large tumor, ascites, and pleural effusion
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What are the microscopic findings associated with dysgerminoma?
Islands of uniform cells
Varying amys of CT stroma
Glycogen containing cytoplasm
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Fibroma that had a little edema
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Granulosa cell tumor
What are the characteristics of Choriocarcinoma?
hCG
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What are the characteristics of a dysgerminoma (ovarian seminoma)
Most common malignant germ cell tumor of ovary
glycogen filled tumor
Younger age group (10-30)
What are the characteristics of Endodermal Sinus Tumor (Yolk Sac Tumor)?
Schiller-Duval Bodies
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Yolk sac tumor - AFP immunostain
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Sertoli-Leydig cell tumor
Characteristics Reinke Crystals
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Granulosa cell tumor
Coffee-Bean nuclei
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Cell-Exner body
Granulosa cell tumor
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Choriocarcinoma
What are the characteristics of Mature Teratoma (Dermoid Cyst)?
Struma ovarii
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What are the characteristics of a Thecoma?
Estrogen-secreting
Sex chord/stromal tumor
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Thecoma - oil Red O (Fat stain) on right
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Dysgerminoma - ovarian seminoma
What are the characteristics of immature teratoma?
3 germ cell layers
Embyronal tissue - usually neural
Malignant, poor process
This is aggressive
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Schiller-Duval body (Yolk Sac Tumor)
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Dermoid cyst
Can consist of bone, teeth, hair etc - due to the fact they are derived from germ cells
What are the Krukenburg tumors?
Adenocarcinoma, Mucin-Producing
Signet Ring Cells
Stomach, Colon, Breast
What are the characteristics of Granulosa cell tumors?
Estrogen secreting
Call-Exner Bodies
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What is the pathology associated with Fibroma’s?
Gross - diffuse tan-white mass
Histology - fibroblasts
What are the characteristics of Sertoli-Leydig Cell tumors? (Arrhenoblastoma, androblastoma)
Androgen secreting
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What is this an image of?
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Thyroid tissue in dermoid cyst “struma ovarii”
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Fibroma
Benign spindle cells
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Immature teratoma