K.1.24 Ovarian carcinoma with omental deposits
- The specimen displays ovarian tissue with attached fallopian tube on top and solid pieces of omentum at the bottom.
- An enlarged cystic ovarian lump with the fallopian tube attached.
- Cut surface shows multiple cystic areas at the periphery filled with mucin.
- Corpora albicantia also seen.
- One cyst filled with blood.
- The ovary shows pale solid areas and small cystic areas.
- Solid pieces of pale omental tissue shows specks of whitish tissue (tumour) amidst fatty tissue.
- Histology confirmed a poorly differentiated papillary adenocarcinoma in the ovary with deposits of the carcinoma in the omentum.
Question
The ovarian tumour is very small. This could be a primary ovarian carcinoma with omental deposits or multiple metastasis from another organ deposited in the ovaries and omentum.
What are the possible ways of differentiating these two?
Answer
The ovarian tumour is very small. This could be a primary ovarian carcinoma with omental deposits or multiple metastasis from another organ deposited in the ovaries and omentum.
What are the possible ways of differentiating these two?
By performing
- clinical examination
- radiological investigations
- immunohistochemistry