1. Ovarian Cysts and Tumors

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21. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

25. 10/04/11 template from www.brainybetty.com copyright 2006 Designation Definition Stage I Cancer limited to the ovaries IA Growth limited to one ovary, capsule intact, no malignant ascites, no tumor on external surface IB Growth limited to both ovaries, capsule intact, no malignant ascites, no tumor on external surface IC As for IA or IB but with surface growth, ruptured capsule (before or during surgery), positive washings, or malignant ascites Stage II Growth involving one or both ovaries with pelvic extension IIA Extension and/or metastases to the uterus and/or tubes IIB Extension to other pelvic organs IIC As for IIA or IIB but with surface growth, ruptured capsule (before or during surgery), positive washings, or malignant ascites Stage III Tumor involving one or both ovaries with peritoneal implants outside the pelvis and/or positive retroperitoneal or inguinal nodes; liver capsule involvement IIIA Tumor grossly limited to the true pelvis with negative nodes but microscopic seeding of abdominal peritoneal surfaces IIIB Abdominal peritoneal implants, but none exceeding 2 cm; nodes negative IIIC Abdominal peritoneal implants larger than 2 cm and/or positive retroperitoneal or inguinal nodes Stage IV Tumor involving one or both ovaries with distant metastases; pleural effusions must be demonstrated to harbor malignant cells; liver parenchymal involvement

34. 10/04/11 template from www.brainybetty.com copyright 2006 Psammoma bodies

37. Figure 22-39 A, Borderline serous cystadenoma opened to display a cyst cavity lined by delicate papillary tumor growths. B, Cystadenocarcinoma. The cyst is opened to reveal a large, bulky tumor mass. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

38. Figure 22-40 Papillary serous cystadenoma revealing stromal papillae with a columnar epithelium. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

40. Figure 22-42 Papillary serous cystadenocarcinoma of the ovary with invasion of underlying stroma. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

44. Figure 22-44 A, A mucinous cystadenoma with its multicystic appearance and delicate septa. Note the presence of glistening mucin within the cysts. B, Columnar cell lining of mucinous cystadenoma. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

46. Figure 22-46 A, Brenner tumor (right) associated with a benign cystic teratoma (left). B, Histologic detail of characteristic epithelial nests within the ovarian stroma. (Courtesy of Dr. M. Nucci, Brigham and Women's Hospital, Boston, MA.) Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

47. 10/04/11 template from www.brainybetty.com copyright 2006 Papillary adenocarcinoma, ovary

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53. Granulosa – theca cell tumor.

55. Sex cord tumor with annular tubules.

62. Figure 22-48 Opened mature cystic teratoma (dermoid cyst) of the ovary. Hair (bottom) and a mixture of tissues are evident. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

64. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

66. Figure 22-52 A Schiller-Duval body in yolk sac carcinoma. Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 28 April 2008 01:14 PM) © 2007 Elsevier

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