Nonspecific Tumors of the Ovary, Including Mesenchymal Tumors and Malignant Lymphoma

  • Aleksander Talerman


The tumors discussed in this chapter comprise a heterogeneous group of neoplasms that are not specific to the ovary. They are uncommon in this location, occurring much more frequently in other parts of the body. Consequently, whenever they are encountered in the ovary, these tumors pose difficult problems in diagnosis, histogenesis, behavior, and therapy for the pathologist and clinician. These neoplasms must be differentiated from primary ovarian neoplasms containing mesenchymal tissue, as well as from metastatic and disseminated neoplasms affecting the ovary. Thus, mesenchymal neoplasms nonspecific to the ovary must be differentiated primarily from teratomatous neoplasms containing large amounts of mature or immature mesenchymal elements and from the mixed müllerian (mesodermal) tumors (MMMT), composed of different malignant connective tissue elements. In contrast, the primary malignant lymphomas must be differentiated from the more common disseminated malignant lymphoma and leukemia, which not infrequently affect the ovary. These two different groups of neoplasms—the connective tissue neoplasms nonspecific to the ovary and malignant lymphoma of the ovary—although included under the same heading, are discussed separately because of their different nature, behavior, and histogenesis. In addition, the adenomatoid tumor, which is of mesothelial origin, the ovarian tumor of probable wolffian origin, ovarian neoplasms of neural origin, hepatoid carcinoma of the ovary, and small cell carcinoma of the ovary with pulmonary differentiation also are included.


Ovarian Tumor Small Cell Carcinoma Granulosa Cell Tumor Granulocytic Sarcoma Malignant Peritoneal Mesothelioma 
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  • Aleksander Talerman

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