Serous surface papillary carcinoma of the ovary: a clinicopathologic study of 16 cases.

Gooneratne S, Sassone M, BLAUSTEIN A, Talerman A
International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 1982 · doi:10.1097/00004347-198203000-00003 · PMID:7185762
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This clinicopathologic study of 16 cases characterizes serous surface papillary carcinoma as a distinct ovarian subtype with bilateral involvement and poorer survival compared to non-surface invasive counterparts.

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This clinicopathologic study analyzed sixteen cases of serous surface papillary carcinoma of the ovary in patients aged 45 to 75 years. The research found that all cases involved bilateral ovarian disease with exophytic tumor growth and widespread abdominal dissemination, often presenting with ascites and systemic symptoms like weight loss. A key finding was that patient survival was shorter compared to those with ovarian serous papillary carcinoma lacking predominant surface involvement, leading the authors to classify this as a distinct subtype rather than peritoneal metastasis. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Sixteen cases of serous surface papillary carcinoma of the ovary are analyzed. The patients were 45 to 75 years of age. The most common presenting symptoms were malaise, weight loss, and abdominal enlargement. Ascites was a common finding on physical examination. Bilateral ovarian involvement was seen in all cases. Gross examination revealed tumor growing exophytically from the surfaces of the ovaries, with slight to moderate invasion of the underlying parenchyma. Microscopic examination showed serous papillary carcinoma. In most of the cases, tumor was widely disseminated throughout the abdominal cavity. It could not be determined with certainty whether the extraovarian tumor represented metastatic spread or synchronous tumor formation. The survival of the patients was shorter than that of patients with ovarian serous papillary carcinoma of the same grade without predominant surface involvement. The authors believe that the carcinoma in the ovary is a distinct subtype of serous papillary carcinoma of the ovary, rather than a primary carcinoma of the peritoneum with secondary ovarian involvement.
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Serous Surface Papillary Carcinoma of the Ovary A Clinicopathologic Study of 16 Cases - Saro Gooneratne - Margharita Sassone - A. Blaustein - Talerman Sixteen cases of serous surface papillary carcinoma of the ovary are analyzed. The patients were 45 to 75 years of age. The most common presenting symptoms were malaise, weight loss, and abdominal enlargement. Ascites was a common finding on physical examination. Bilateral ovarian involvement was seen in all cases. Gross examination revealed tumor growing exophytically from the surfaces of the ovaries, with slight to moderate invasion of the underlying parenchyma. Microscopic examination showed serous papillary carcinoma. In most of the cases, tumor was widely disseminated throughout the abdominal cavity. It could not be determined with certainty whether the extraovarian tumor represented metastatic spread or synchronous tumor formation. The survival of the patients was shorter than that of patients with ovarian serous papillary carcinoma of the same grade without predominant surface involvement. The authors believe that the carcinoma in the ovary is a distinct subtype of serous papillary carcinoma of the ovary, rather than a primary carcinoma of the peritoneum with secondary ovarian involvement.

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