Ovarian Cancer Facts Flashcards
Covers 80-85% of all ovarian tumors; age at diagnosis usually older than 40 years
Coelemic epithelial
Tumors includes in coelemic epithelial tumors
Serous, mucinous, endometrioid, clear cell, brenner
Histogenesis of serous tumors
Ciliated tubal epithelium
Histogenesis of mucinous tumors
Columnar endocervical epithelium
Histogenesis of endometrioid tumors
Endometrial glands
Histogenesis of clear cell tumors
Mesonephric tissue
Histogenesis of brenner tumor
Transitional urothelium
What are the unique findings of serous tumors and what is the tumor marker?
Psamomma bodies
Tumor marker = CA -125
What are the unique findings of mucinous tumors
Pseudomyoxoma peritonei
Tumor marker = CEA
What is the tumor marker for endometrioid tumor?
CA-125
What is the tumor marker for clear cell tumors?
CA-125
What is the unique findings for brenner tumors?
Walthard cell rests
What is the percent malignancy of serous tumors?
20%
What is the percent malignancy of mucinous tumors?
15%
What is the percent malignancy of Endometrioid tumors?
95%
What is the percent malignancy of Clear cell tumors?
98%
What is the percent malignancy of Brenner tumor?
2%
Covers 10-15% of all ovarian tumors; age at diagnosis is usually younger than 30y/o
Germ cell tumor
Tumors included in germ cell tumors
Teratoma (immature and mature)
Dysgerminoma
Gonadoblastma
Endodermal sinus (“yolk sac tumor”)
Embryonal carcinoma
Non-gestational choriocarcinoma
Histogenesis of immature teratoma
Fetal embryonic tissue
Histogenesis of mature teratoma
Many mature cell types
Histogenesis of dysgerminoma
Primitive germ cells
Histogenesis of dysgerminoma
Primitive germ cells
Histogenesis of gonadoblastoma
Dysgenetic gonads with Y chromosomes
Histogenesis of endodermal sinus (“yolk sac tumor”)
Extraembyonic tissue
Histogenesis of embryonal carcinoma
Embryonic tissue
Histogenesis of non-gestational choriocarcinoma
Extraembryonic tissue
Tumor markers of immature teratoma
AFP and CA-125
Unique findings of Mature teratoma
Rokitansky prominence
Tumor marker for dysgerminoma
LDH
Unique findings of endodermal sinus “yolk sac tumor”
Schiller Duvall bodies
Tumor markers of embryonal carcinoma
AFP
Beta-hCG
Tumor markers of endodermal sinus “yolk sac tumor”
AFP
Tumor markers of non-gestational choriocarcinoma
Beta-hCG
% malignant of immature teratoma
100%
% malignant of mature teratoma
0-1%
% malignant of Dysgerminoma
100%
% malignant of Gonadoblastoma
0%
% malignant of Endodermal sinus “yolk sac tumor”
100%
% malignant of Embryonal carcinoma
100%
% malignant of Non-gestational choriocarinoma
100%
Covers 3-5% of all ovarian tumors; age at diagnosis is usually around 50yrs with a range of 20-80
Gonado-stromal
Histogenesis of granulosa cell tumors
Ovarian gonadal cells
Histogenesis of fibroma
Thecoma elements
Histogenesis of thecoma
Thecoma elements
Histogenesis of steroli-leydig tumor
Testicular gonadal cells
Histogenesis of lipid cell tumor
Gonadal stromatolites cells
Histogenesis of gynandroblastoma
Both ovarian and testicular cells
Unique findings of granulosa cell tumors
Cal-Exner bodies
Estrogen production
Inhibin
Unique findings of Fibroma
Seen w Meig’s syndrome
Unique findings of Thecoma
Estrogen production
Unique findings of Serotonin-leydig
Crystals of Reinke
Testosterone production
Unique findings of Serotonin-leydig
Crystals of Reinke
Testosterone production
Unique findings of Gynandroblastoma
Testosterone production
% malignancy of granulosa cell tumor
<5%
% malignancy of Fibroma
<5%
% malignancy of Thecoma tumor
<5%
% malignancy of Seroti-leydig tumor
<5%
% malignancy of Lipid cell
30%
% malignancy of Gynandroblastoma
100%