The purpose of this paper is to quantify the incidence of different histological types of ovarian tumors and to demonstrate the clinical importance of an effective screening program, considering the paucisymptomatic nature of this pathology. The incidence of ovarian epithelial tumors varied across age groups, our study group including women aged between 34 and 64 years old.
Knowing the age distribution plays an important role in the implementation of screening programs. All cases presented ovarian cancer pain similar symptomatology: pelvic pain, abdominal distension and ascites.
The gross appearance of these tumors was overlapping in different histological subtypes, showing variable cystic and solid components. The histological subtypes included in our study were: serous carcinoma, low grade and high grade, mucinous carcinoma, endometrioid carcinoma and clear cell carcinoma. A positive correct diagnosis of the histological subtype is essential for therapy and follow-up, and immunohistochemial studies should be performed in difficult cases.
There is a large series of antibodies used for the positive diagnosis of ovarian carcinoma, so the pathologist should know what algorithm to use in approaching a diagnosis in order to obtain a correct result. Scopul acestei lucrări este de a cuantifica incidența diferitelor tipuri histologice de tumori ovariene și de a demonstra importanța clinică a unui program eficient de screening, având în vedere natura paucisimptomatică a acestei patologii.
«СЛЕДОПЫТ» ОТКЛЮЧЕН «Следопыт» отключен. У нее даже перехватило дыхание. Почему. Сьюзан охватила паника.
Incidența tumorilor epiteliale ovariene a variat în funcție de grupurile de vârstă, grupul nostru de studiu incluzând femei cu vârsta cuprinsă între 34 și 64 de ani. Cunoașterea distribuției pe vârste joacă un rol important în implementarea programelor de screening.
Toate cazurile au prezentat simptomatologie similară: durere pelviană, distensie abdominală și ascită.
За дверью послышалось движение, раздались голоса. Он постучал.
Aspectul macroscopic al acestor tumori se suprapune în diferite subtipuri histologice, prezentând componente variabile chistice și solide. Subtipurile histologice incluse în studiul nostru au fost carcinomul seros, de grad scăzut sau crescut, carcinomul mucinos, carcinomul endometrioid și carcinomul cu celule clare. Un diagnostic corect pozitiv al subtipului histologic este esențial pentru terapie și follow-up, iar studiile imunohistochimice trebuie efectuate în cazuri dificile.
Există o serie mare de anticorpi folosiți pentru diagnosticul pozitiv al carcinomului ovarian, astfel încât anatomopatologul ar trebui să știe ce algoritm să utilizeze în abordarea unui ovarian cancer pain pentru a obține un rezultat corect.
Utilitatea imunohistochimiei în diagnosticul carcinomului ovarian
Cuvinte cheie epiteliu carcinom ovar imunohistochimie Introduction Ovarian cancer is a public health problem that affects women of reproductive age and is a major cause of morbidity and mortality. Early diagnosis is the ovarian cancer pain method of ameliorating complications and long-term prognosis, but this is hampered by reduced symptomatology, with most patients presenting in advanced stages.
From tothe incidence rate and the mortality rate decreased by 0. The most important factor in determining the prognosis of the patient is the tumor stage.
For epithelial ovarian cancer, current screening methods ultrasound and tumor markers have not been as effective as in cervical or breast tumors.
Ovarian epithelial ovarian cancer pain represent a heterogeneous class of neoplasia, classified by cell type in serous, mucinous, endometrioid and clear cell.
Because there are no benign equivalent tissues in ovarian cancer pain ovary, the mechanism of carcinogenesis was attributed initially to the ovarian epithelium mesotheliumbut recent studies have proposed that serous tumors are secondary tumors, derived from lesions of the ovarian cancer pain tube fimbria, while endometrioid tumor or clear cells tumors are secondary to ovarian endometriosis 4.
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Ovarian epithelial tumors are classified according to the degree of nuclear atypia, tumor proliferation and the presence puppy papilloma treatment absence of stromal invasion, in benign, borderline and malignant conditions.
The borderline tumors are called this way because they present cytological and histological aspects that are intermediate between benign and malignant. Materials and method The purpose of this paper is to quantify the incidence of different histological types ovarian cancer pain ovarian tumors and to demonstrate the clinical importance of an effective screening program, considering the paucisymptomatic nature of this pathology.
Symptoms suggestive for this ovarian cancer pain were noted to demonstrate the silent clinical appearance of ovarian neoplasia. Specimens were obtained from limited tumor excision, but also from oophorectomy and hysterectomy with bilateral anexectomy, formalin fixed and paraffin embedded, then stained with Hematoxylin-Eosin.
In some cases, additional immunohistochemical stains were needed to clarify the diagnosis. Results This study included data from a batch of 23 ovarian carcinomas, selected from ovarian pathology patients. The incidence of ovarian epithelial tumors varies across age groups, our study group including women aged between 34 and 64 years old.
Knowing the age distribution plays an important role ovarian cancer pain the implementation of screening programs. All cases presented with similar symptomatology: pelvic pain, abdominal distension and ascites in two cases.
Perioperative management of a patient with Krukenberg tumor - a case report
In the category of malignant serous tumors, we included 9 patients, 6 low-grade and 3 high-grade. The low-grade serous carcinoma was non-invasive and showed a papillary-type development, with small nuclei, rare mitoses and a hyalinized stroma with occasional psamoma bodies. Immunohistochemical assays showed positivity to CK7 and ER.
Figure 1. The immunohistochemical assays showed, by contrast to the previous low-grade serous cases, a mutated expression of p53 and high Ki67 index.
It is important to distinguish between primary ovarian cancer and metastatic tumors in the ovary because their management is different, in terms of treatment and follow-up. We report the perioperative management of a year-old female patient with bilateral Krukenberg tumors.
The pattern of p53 immunosay is very important and the result should refer ovarian cancer pain the presence or absence of a mutation. A strong and diffuse immunoexpression of p53, as well as a completely negative immunostaining should be interpreted as an indicator of a Ovarian cancer pain gene mutation. In our cases, all high grade showed mutated status ovarian cancer pain TP53 gene.
Utilitatea imunohistochimiei în diagnosticul carcinomului ovarian
Hormone receptor testing showed no difference from the low-grade cases and is not useful in the differential diagnosis. Also, all cases of both low-grade and high-grade serous carcinoma exhibited diffuse nuclear positivity with WT1.
Figure 2. High-grade serous carcinoma of the ovary, HE, 40x, and p53 mutated, 40x The cases of carcinomas with glandular architecture, atypical cells and foci of squamous metaplasia were classified as endometroid carcinomas due to their resemblance to the endometrium 5 cases. The immunohistochemical profile of endometriod carcinomas is similar to that of benign endometrial tumors, presenting a positive reaction for cytokeratins and both estrogenic and progesterone receptors and different values of Ki67, depending on the aggresive character of the ovarian cancer pain.
In one case, the initial intraoperative diagnosis was endometriod cyst, while extensive grossing for the final diagnosis revealed the presence of a small area of endometrioid carcinoma Figure 3.
Ovarian cancer pain ovarian carcinoma and associated endometrioid cyst, HE, 40x A third histopathological category of ovarian epithelial tumors were the mucinous tumors, which represented 2. On gross examination, two cases showed cystic appearance and the rest were solid with dimensions between 6 and 14 cm.
Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz
In ovarian cancer pain case, the mucinous adenocarcinoma has shown an expansive pattern of development, without any stromal invasion and complex architecture, while the rest were infiltrative. Figure 4. The year-old patient who was diagnosed with this tumor had epiploic metastasis at admission.
Because all bilateral or large mucinous ovarian tumors should ovarian cancer ovarian cancer pain considered secondary dissemination until proven otherwise, immunohistochemical tests are compulsory.
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In our cases, three tumors turned out to be primary tumors, two were metastasis from a colorectal adenocarcinoma and one of them was a Krukenberg tumor metastasis from a gastric carcinoma. Figure 5. Primary mucinous ovarian adenocarcinoma, HE, 40x, and CK7 positive The Krukenberg tumor showed a specific pattern, with signet ring infiltrating tumoral cells, Ck20, CDx2 and CEA positive, but the diagnosis cannot be relied solely on histological and immunohistochemical pattern and it had ovarian cancer pain be confirmed by the clinical context.