Robbins Ch 22 - Lecture 3 Flashcards
Large translucent cysts found near the end of the falopian tubes or in the broad ligament
Hydatids of Morgagni
Hyperandrogenism, mensutral abnormalities, polycystic ovaries, chonic anovulation, decreased fertility
Polycytic ovarian syndrome (PCOS)
Women with PCOS are at a higher risk of endometrial carcinoma d/t increased
Estrone levels
Uniform enlargement of the ovary (usually b/l), hypercellular stroma w/ lutinization that appear as discrete nests of cells with vacuolated cytoplasm; MC in postmenopausal F
Stromal hyperthecosis
Recently pregnant F with concentric, theca-lutein hyperplasia and nodularity of the ovaries
Theca lutein hyperplasia of preganancy
MC malignant ovarian tumors
Serous tumors
BRCA 1 and 2
Increased susceptibility to ovarian cancer
Arise form in situ lesions in the fallopian tube fimbriae or from serous inclusions cysts within ovaries
High-grade serous carcinomas
KRAS, BRAF, ERBB2 mutations are ass’d with
Low-grade serous ovarian tumors
In comparison to low-grade serous carciomas, high-grade have
More complex growth patterns and widespread infiltration of effacement of underlying stroma
nonspecific histologic character of serous tumors
Psammoma bodies
MC infections leading to supperative salpingitis
Gonococcus and chlamydiae
Mutation of what gene is a consistent alteration in mucinous tumors?
KRAS
Tall columnar epi lining with apical mucin that lacks cilia, can see gastric or intestinal type differentiation
Mucinous tumor
Mucinous carcinomas characteristically demonstrate
Confluent glandular growth
Extensive mucinous ascites, cystic epithelial impants on the peritoneal surface, adhesions, frequent involvement of the ovaries
Pseudomyxoma peritonei
PI3K/AKT increased signaling, mutations in CTNNB1 and mismatch DNA repair genes are found in what type of ovarian cancer?
Endometrioid ovarian cancer
Clear cells arranged in sheets or tubules
Solid clear cell neoplasm
Clear cells lining cystic spaces
Cystic clear cell carcinoma
Small, multiloculated mass in the ovary with pronounced proliferation of fibrous stroma underlying columnar epi with simple papillary architecture
Cysadenofibroma