Ovarian adenocarcinoma of mesonephric type

Henry J. Norris, H J Norris, Max Robinowitz, M Robinowitz
Cancer · 1971 · vol. 28(4) , pp. 1074–1081 · doi:10.1002/1097-0142(1971)28:4<1074::aid-cncr2820280434>3.0.co;2-k · PMID:5111739 · W1965943292
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This study describes 40 cases of ovarian adenocarcinoma of mesonephric type, a carcinoma resembling renal carcinoma, and identifies factors influencing survival, recommending a specific designation due to its relatively favorable prognosis.

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Abstract

Ovarian adenocarcinoma of mesonephric type is a well-differentiated carcinoma composed of clear or hobnail-type cells resembling renal carcinoma. Forty cases were studied. Although there is no proof of origin from mesonephric remnants in or near the ovary, these neoplasms are virtually identical to carcinomas that arise from mesonephric rests elsewhere, as in the cervix. It is apparent that neoplasms with this pattern occasionally arise in endometriosis of the ovary and are associated with pelvic endometriosis in 25% of instances. Origin from endometriosis is uncommon, however; none of the 40 examples in this study arose from endometriosis, and there are relatively few examples in the literature. Therefore, the most common origin is from pluripotential ovarian epithelium, and this simply reflects the capacity of the ovary to produce neoplasms resembling those arising in other organs in the abdominal cavity. Factors related to survival included whether the neoplasms were essentially unilocular (favorable) or essentially multilocular or solid (unfavorable). Predominance of papillary patterns and clear cells in the neoplasm was relatively favorable, as compared with predominance of hobnail cells or tubular patterns. Of 28 patients who had neoplasms visibly confined to the ovary at initial operation, 61% were living and well at last contact. Because of the relatively favorable prognosis, a specific designation is recommended.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Mesonephroma Mesonephroma Mesonephroma Mesonephroma Mesonephroma Mesonephroma Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Adenocarcinoma Adenocarcinoma Adult Aged Endometriosis Endometriosis Female Histocytochemistry

Citation neighborhood

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References (12)

Cited by (9)

Source provenance

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