Histological classification of ovarian cancer
Tsunehisa Kaku,
Kaku T,
Ogawa S,
Shinji Ogawa,
Yoshiaki Kawano,
Kawano Y,
Yoshihiro Ohishi,
Ohishi Y,
Kobayashi H,
Hiroaki Kobayashi,
Hirakawa T,
Toshio Hirakawa,
Hitoo Nakano,
Nakano H
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This paper reviews the World Health Organization's histological classification of ovarian tumors, detailing epithelial subtypes, their associations with endometriosis, and typical stage distributions.
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This paper describes the histological classification of ovarian tumors, focusing on the WHO system organized by histogenetic principles based on tumor derivation from coelomic surface epithelial cells, germ cells, and mesenchyme. It outlines epithelial ovarian malignancies by histologic types, including serous, mucinous, endometrioid, clear cell, transitional (Brenner), carcinosarcoma, mixed epithelial tumors, undifferentiated carcinoma, and others. The authors report that clear cell and endometrioid carcinomas are highly associated with endometriosis and differ from serous carcinoma in stage distribution, with serous tumors predominantly in advanced stages while clear cell and endometrioid tumors tend to remain confined to the ovary. This paper is centrally about ovarian cancer histological classification, but it explicitly relates to endometriosis by stating that clear cell and endometrioid ovarian carcinomas are highly associated with endometriosis.
Abstract
The histology of ovarian tumors exhibits a wide variety of histological features. The histological classification of ovarian tumors by the World Health Organization (WHO) is based on histogenetic principles, and this classification categorizes ovarian tumors with regard to their derivation from coelomic surface epithelial cells, germ cells, and mesenchyme (the stroma and the sex cord). Epithelial ovarian tumors, which are the majority of malignant ovarian tumors, are further grouped into histological types as follows: serous, mucinous, endometrioid, clear cell, transitional cell tumors (Brenner tumors), carcinosarcoma, mixed epithelial tumor, undifferentiated carcinoma, and others. Clear cell and endometrioid carcinomas are highly associated with endometriosis. In stage distribution, serous carcinoma is found predominantly is stage III or IV. In contrast, clear cell and endometrioid carcinomas tend to remain confined to the ovary. Clear cell and endometrioid carcinomas may be unique histological types compared with serous carcinomas with respect to stage distribution and association with endometriosis.
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Abstract.
The histology of ovarian tumors exhibits a wide variety of histological features. The histological classification of ovarian tumors by the World Health Organization (WHO) is based on histogenetic principles, and this classification categorizes ovarian tumors with regard to their derivation from coelomic surface epithelial cells, germ cells, and mesenchyme (the stroma and the sex cord). Epithelial ovarian tumors, which are the majority of malignant ovarian tumors, are further grouped into histological types as follows: serous, mucinous, endometrioid, clear cell, transitional cell tumors (Brenner tumors), carcinosarcoma, mixed epithelial tumor, undifferentiated carcinoma, and others. Clear cell and endometrioid carcinomas are highly associated with endometriosis. In stage distribution, serous carcinoma is found predominantly is stage III or IV. In contrast, clear cell and endometrioid carcinomas tend to remain confined to the ovary. Clear cell and endometrioid carcinomas may be unique histological types compared with serous carcinomas with respect to stage distribution and association with endometriosis.
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Received: June 28, 2002 / Accepted: July 1, 2002
Correspondence to T. Kaku
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Kaku, T., Ogawa, S., Kawano, Y. et al. Histological classification of ovarian cancer. Med Electron Microsc 36, 9–17 (2003). https://doi.org/10.1007/s007950300002
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DOI: https://doi.org/10.1007/s007950300002
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endometriosis
MeSH descriptors
Ovarian Neoplasms
Ovarian Neoplasms
Adenocarcinoma, Clear Cell
Adenocarcinoma, Clear Cell
Adenocarcinoma, Clear Cell
Carcinoma, Endometrioid
Carcinoma, Endometrioid
Carcinoma, Endometrioid
Cystadenocarcinoma, Mucinous
Cystadenocarcinoma, Mucinous
Cystadenocarcinoma, Mucinous
Cystadenocarcinoma, Serous
Cystadenocarcinoma, Serous
Cystadenocarcinoma, Serous
Endometriosis
Endometriosis
Female
Humans
Neoplasm Staging
Ovarian Neoplasms
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