diagnosis of ovarian tumors

See also : ovarian tumors

Appearance

  cystic tumors
  epithelial tumors
 compact architecture

• example : granulosa cell tumor

Appearance :

 ovarian epithelial tumors

• ovarian serous tumors
  • benign ovarian serous tumors
  • proliferating ovarian serous tumors - borderline ovarian serous tumors
  • ovarian serous carcinomas
• ovarian mucinous tumors
  • pseudomyxoma peritonei
  • benign ovarian mucinous tumors
  • proliferating ovarian mucinous tumors - borderline mucinous tumors
  • mucinous ovarian adenocarcinoma

• ovarian endometrioid tumors
  • Benign (ovarian endometrioid cystadenoma )
  • Borderline tumors (ovarian endometrioid borderline tumor )
  • Malignant (ovarian endometrioid adenocarcinoma )

• clear cell tumors
  • Benign
  • Borderline tumors
  • Malignant (ovarian clear cell carcinoma )

• transitional cell tumors
  • Brenner tumor
  • Brenner tumor of borderline malignancy
  • malignant Brenner tumor
  • transitional cell carcinoma (non-Brenner type )

• ovarian squamous cell tumors
  • ovarian squamous cell carcinoma / ovarian SCC

• epithelial-stromal tumors (mixed epithelial tumors )
  • adenosarcoma
  • carcinosarcoma (formerly "mixed Mullerian tumors ")

• ovarian undifferentiated tumors
  • ovarian undifferentaited adenocarcinoma (NOS)
  • ovarian undifferentiated carcinoma

• ovarian metastasis
  • from colonic carcinomas , appendiceal carcinomas
  • from gastric carcinomas ( Krukenberg tumor )
  • from mammary carcinomas

 ovarian mesenchymal tumors / ovarian conjunctive tumors

• ovarian sex cord-stromal tumors
  • granulosa-stromal cell tumors
    • thecoma - fibroma group
      • ovarian fibroma
      • thecoma
      • fibrothecoma

• • • granulosa cell tumors
      • Adult type
      • Juvenile type

• • Sertoli-stromal cell tumors
    • Sertoli-Leydig cell tumor (Androblastoma )
    • Sertoli cell tumor
    • Stromal-Leydig cell tumor

• • Sex cord-stromal tumors of mixed or unclassified cell types
    • Sex cord tumor with annular tubules
    • Gynandroblastoma
    • Sex cord-stromal tumor, unclassified, NOS

 ovarian endocrine tumors

• • steroid cell tumors
  • stromal luteoma
  • Leydig cell tumor
    • Leydig cell tumor, Hilus cell tumor type
    • Leydig cell tumor, non-hilar type
    • Leydig cell tumor, NOS

• • steroid (lipid) cell tumors NOS
    • well differentiated
    • malignant

 ovarian germ cell tumors

• Teratoma :
  • Immature
  • Mature
    • Solid
    • Cystic (dermoid cyst )
    • Monodermal (e.g., struma ovarii , carcinoid )

• Dysgerminoma
• Yolk sac tumor (endodermal sinus tumor )
• Mixed germ cell tumors

Macroscopical appearance

 ovarian cystic tumors
 ovarian surface epithelial tumors

Tumoral cell appearance

 ovarian spindle cell tumors / with prominent spindle cells
 ovarian round cell tumors
 ovarian smooth muscle cell tumors
 ovarian steroid cell tumors

Tumoral architecture appearance

 ovarian papillary tumors
 ovarian compact tumors
 ovarian cystic tumors

Microscopical appearance

Differential diagnosis

 ovarian tumor-like anomalies / lesions

• follicle cyst
• corpus luteum cyst
• ovarian remnant syndrome
• polycystic ovarian disease (PCOD)
• stroma hyperthecosis
• ovarian stromal hyperplasia
• ovarian massive edema
• ovarian fibromatosis
• hilus Leydig cell hyperplasia
• ovarian simple cyst
• ovarian idiopathic calcification
• uterus-like adnexal mass
• splenic gonadal fusion
• pregnancy luteoma
• hyperreactio luteinalis
• large solitary luteinized follicle cyst of pregnancy and puerperium
• granulosa cell proliferations of pregnancy
• hilus Leydig cell proliferation of pregancy
• ectopic decidua
• ovarian pregnancy
• ovarian endometriosis (ovarian endometriotic cyst )
• ovarian granulomas
  • ovarian foreign body granulomas
  • ovarian palisading granulomas
  • ovarian granulomas secondary to systemic diseases

• ovarian infections
  • ovarian bacterial infections
    • ovarian actinomycosis
    • ovarian tuberculosis
    • ovarian malacoplakia

• • ovarian fungal infections
  • ovarian parasitic infections

• mesothelial proliferations
• surface epithelial-stromal proliferation
• autoimmune oophoritis
• ovarian torsion
• ovarian infarction
• ovarian changes secondary to metabolic diseases
• mucicarminophilic histiocytosis

See also

 diagnosis of tumors