The classification of tumors of the ovary and ovarian cysts

Category Gynecology | December 12, 2017 00:14

The following classification of ovarian tumors and ovarian cysts is generally recognized:

I. Epithelial tumors

A. Serous tumors
1. Benign: cystadenoma and papillary cystadenoma;superficial papilloma;adenofibroma and cystadenofibroma.

2. Borderline( potentially low degree of malignancy);cystadenoma and papillary cystadenoma;superficial papilloma;adenofibroma and cystadenofibroma.

3. Malignant: adenocarcinoma, papillary adenocarcinoma and papillary cystadenocarcinoma;superficial papillary carcinoma;malignant adenofibroma and cystadenofibroma.

B. Mucinous tumors
1. Benign: cystadenoma;adenofibroma and cystadenofibroma.

2. Borderline( potentially low degree of malignancy): cystadenoma;adenofibroma and cystadenofibroma.

3. Malignant: adenocarcinoma and cystadenocarcinoma;malignant adenofibroma and cystadenofibroma.

B. Endometrioid tumors
1. Benign: adenoma and cystadenoma.

2. Borderline( potentially low grade): adenoma and cystadenoma;adenofibroma and cystadenofibroma.

3. Malignant: carcinoma - adenocarcinoma, adenoacanthoma, ural adenofibroma and cystadenofibroma;endometrial stromal sarcoma;mesoderm( Müller's) mixed tumors. D. Light cell( mesonephrine) tumors of adenofibroma.2. Borderline( potentially low).

3. Malignant: carcinoma and adenocarcinoma. D. Brenner's tumors

1. Benign.

2. Borderline( borderline malignancy).

3. Malignant.

E. Mixed epithelial tumors

1. Benign.

2. Borderline( borderline malignancy).

3. Malignant. J. Undifferentiated carcinoma.3. Unclassified epithelial tumors.

II.Tumors of the genital tract stroma

A. Granulose-stromal cell tumors
1.Granuletscheletochnaya tumor.

2. Group tekom-fibrom: tekoma, fibroma, unclassifiable.

B. Androblastoma

1. Highly differentiated: tubular androblastoma, tumor of
Sertoli cells;tubular androblastoma with accumulation of lipids( lipid-
follicle lesena);tumor from Sertoli and Leydig cells;tumor
from Leydig cells( tumor from the hylus cells).

2. Tumors of intermediate( transitional) differentiation.

3. Low-differentiated( sarcomatoid) tumors.

4. Tumors with heterologous elements.

B. Gynadroblastoma

G. Unclassified tumors of the stroma of the genital tract.

III.Lipid cell( lipoid cell) tumors

IV.Germogenic tumors of

A. Dieterminoma.

B. Tumor of endodermal sinus.

B. Embryonic carcinoma. G. Polyembryoma.

D. Chorionepithelioma.

E. Teratoma.
1. Immature.

2. Mature: solid;Cystic( dermoid cyst, dermoid cyst with malignancy).

3. Monodermal( highly specialized): an ovarian tumor;carcinoma. J. Mixed germ cell tumors.

V. Gonadoblastoma

A. Pure( without admixture of other forms).

B. Mixed with disgerminoma and others.forms of germogenic tumors.

VI.Soft tissue tumors, unspecific for ovaries

VII.Unclassified tumors of

VIII.Secondary( metastatic) tumors

IX.Tumor processes

A. Luteosis of pregnancy.

B. Hyperplasia of ovarian stroma and hypertecosis. B. Bulk edema of the ovary.

D. Single follicular cyst and cyst of the yellow body.

E. Multiple follicular cysts( polycystic ovaries).

E. Multiple yellow bodies.

J. Endometriosis.

3. Superficial epithelial cysts.

I. Simple cysts.

K. Inflammatory processes.

L. Paravarian cysts.