Skip to main content

Sex Cord-Mesenchyme Tumours

Pathologic Classification and its Relation to Prognosis and Treatment

  • Conference paper
Book cover Ovarian Cancer

Part of the book series: UICC Monograph Series ((UICC,volume 11))

Abstract

The category “sex cord-mesenchyme tumours” includes all neoplasms composed of cells that are ultimately derived from the sex cords or the mesenchyme of the embryonic gonad (Morris and Scully, 1958). These tumours may contain granulosa cells, stromal-theca cells, Sertoli cells, Leydig cells or the precursors of these elements, alone or in any combination. The term “mesenchymoma” has also been applied to this group of neoplasms (Malkasian et al., 1965), but it has a less acceptable embryologic basis because there is disagreement as to whether the sex cords and their derivatives, the granulosa and Sertoli cells, develop from the mesenchyme or from the “germinal” epithelium. The designation “specialized gonadal stromal tumours” was proposed for neoplasms of the testis that contain combinations of the various cell types mentioned above (Mostofi et al., 1959), and this term was subsequently adopted for the analogous ovarian tumours (Hertig and Gore, 1961; Novak and Long, 1965), but it has the same theoretical disadvantage as “mesenchymoma”. The ideal name awaits a concensus among embryologists on the origins of the gonadal cell types but, whatever term is used, authorities generally agree that the tumours in question fall into four broad categories.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Burslem, R. W., Langley, F. A., and Woodcock, A. S., A clinicopathological study of oestrogenic ovarian tumours. Cancer (Philad.) 7, 522–538 (1954).

    Article  CAS  Google Scholar 

  • Busby, T., and Anderson, G. W., Feminizing mesenchymomas of the ovary. Amer. J. Ob-stet. Gynec. 68, 1391–1420 (1954).

    CAS  Google Scholar 

  • Cohen, M., and Shaw, M. W., Twoxy siblings with gonadal dysgenesis and a female phenotype. New Engl. J. Med. 272, 1083–1088 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Dominguez, C. J., and Greenblatt, R. B., Dysgerminoma of the ovary in a patient with Turner’s syndrome. Amer. J. Obstet. Gynec. 83, 674–677 (1962).

    PubMed  CAS  Google Scholar 

  • Flick, F. H., and Banfield r., R. S., Malignant theca-cell tumors. Two new case reports and review of the eight published cases. Cancer (Philad.) 9, 731–735 (1956).

    Article  Google Scholar 

  • Flor, F. S., Schadt, D. C., and Benz, E. S., Gonadal dysgenesis with male chromatin pattern: testicular feminization syndrome. Clinical and pathological findings in two cases in siblings. J. Amer. med. Ass. 181, 375–379 (1962).

    Article  CAS  Google Scholar 

  • Foda, M. S., Youssef, A. J., and Shafeek, M. A., Malignant theca cell tumour of the ovary. J. Obstet. Gynaec. Brit. Emp. 68, 982–985 (1961).

    Article  PubMed  CAS  Google Scholar 

  • Frasier, S. D., Bashore, R. A., and Mosier, H. D., Gonadoblastoma associated with pure gonadal dysgenesis in monozygous twins. J. Pediat. 64, 740–745 (1964).

    Article  PubMed  CAS  Google Scholar 

  • Giusti, G., Borghi, A., Bigozzi, U., Negri, L., and Toccafondi, R., Ovarian dysgerminoma with precocious isosexual puberty followed by virilization. Obstet. and Gynec. 20, 755–760 (1962).

    CAS  Google Scholar 

  • Hartz, P. H., Giant cystic arrhenoblastoma of ovary containing entodermal epithelium and carcinoid. Amer. J. Path. 21, 1167–1191 (1945).

    PubMed  CAS  Google Scholar 

  • Hertig, A. T., and Gore, H., Tumors of the ovary and Fallopian tube, p. 9–176. Armed Forces Instiute of Pathology, Washington 1961.

    Google Scholar 

  • Hughesdon, P. E., Ovarian lipoid and theca cell tumors; their origins and interrelations. Ob-stet. and Gynec. 21, 245–288 (1966).

    Article  CAS  Google Scholar 

  • Hughesdon, P. E., and Fraser, I. T., Arrhenoblastoma of ovary. Case report and histological review. Acta obstet. gynec. stand. (Suppl. 4) 32, 1–78 (1953).

    Article  CAS  Google Scholar 

  • Kortmeier, H. L., Carcinoma of the female genitalia, p. 174–192. Baltimore: Williams & Wilkins Co. 1953.

    Google Scholar 

  • Malkasian, G. D., Dockerty, M. B., Wilson, R. B., and Faber, J. E., Functioning tumors of the ovary in women under 40. Obstet. and Gynec. 26, 669–675 (1965).

    Google Scholar 

  • Mathet, P., Les tumeurs masculinisantes de l’ovaire. Paris These 114 p. Paris: Libraire Arnette 1956.

    Google Scholar 

  • Melicow, M. M., and Uson, A. C., Dysgenetic gonadomas and other gonadal neoplasms in intersexes. Report of 5 cases and review of the literature. Cancer (Philad.) 12, 552–572 (1959).

    Article  CAS  Google Scholar 

  • Miller, O. J., The sex chromosome anomalies. Amer. J. Obstet. Gynec. 90, 1078–1138 (1964).

    PubMed  Google Scholar 

  • Morris, J. McL., and Scully, R. E., Endocrine pathology of the ovary, p. 15–138. St. Louis: C. V. Mosby Co. 1958.

    Google Scholar 

  • Mostoei, F. K., Theiss, E. A., and Ashley, D. J. B, Tumors of specialized gonadal stroma in human male patients. Androblastoma, Sertoli cell tumor, granulosa-theca cell tumor of the testis, and gonadal Stromal tumor. Cancer (Philad.) 12, 944–957 (1959).

    Article  Google Scholar 

  • Novak, E. R., and Long, J. H.,Arrhenoblastoma of the ovary. Amer. J. Obstet. Gynec. 92, 1082–1093 (1965).

    PubMed  CAS  Google Scholar 

  • O’hern, T. M., and Neubecker, R. D., Arrhenoblastoma. Obstet. and Gynec. 19, 758770 (1962).

    Google Scholar 

  • Palladino, V. S., Duffy, S. L., and Bures, G. S., Probable true cystic granulosa cell tumor. Report of a case. Obstet and Gynec. 25, 729–733 (1965).

    CAS  Google Scholar 

  • Robinson, A., Priest, R. E., and Bigler, P. C., Male pseudohermaphrodite with XY/XO mosaicism and bilateral gonadoblastomas. Letter to the editor. Lancet 1964 I, 111–112.

    Google Scholar 

  • Santesson, L., and Marrubini, G., Clinical and pathological survey of ovarian embryonal carcinomas, including so-called “mesonephromas” (SCHILLER), or “mesoblastomas” (TEILuM), treated at the Radiumhemmet. Acta obstet. gynec. stand. 36, 399–419 (1957).

    Article  CAS  Google Scholar 

  • Scully, R. E., Gonadoblastoma. A gonadal tumor related to the dysgerminoma (semi-noma) and capable of sex-hormone production. Cancer (Philad.) 6, 455–463 (1953).

    Article  CAS  Google Scholar 

  • Scully, R. E.: An unusual ovarian tumor containing Leydig cells, but associated with endometrial hyperplasia, in a postmenopausal woman. J. clin. Endocr. 13, 1254–1263 (1953).

    Article  PubMed  CAS  Google Scholar 

  • Scully, R. E.: Stromal luteoma of the ovary. A distinctive type of lipoidcell tumor. Cancer (Philad.) 17, 769–778 (1964).

    Article  CAS  Google Scholar 

  • Scully, R. E.: Unpublished observations 1966.

    Google Scholar 

  • Siebenmann, R. B., Pseudohermaphroditismus masculinus mit Gonadoblastom-line besondere Intersexform. Path. et Microbiol. (Basel) 24, 233–238 (1961).

    Google Scholar 

  • Sher, J., and Marsh, M., MUltilOCUlar cystic granulosa cell tumor. Report of a case. Amer. J. clip. Path. 40, 72–77 (1963).

    CAS  Google Scholar 

  • Sjöstedt, S., and Wahlen, T., Prognosis of granulosa cell tumours. Acta obstet. gynec. stand. 40, 1–26 (Suppl. 6 ) (1961).

    Google Scholar 

  • Sternberg, W. H., and Barclay, D. L., Luteoma of pregnancy. Amer. J. Obstet. Gynec. 95, 165–184 (1966).

    PubMed  CAS  Google Scholar 

  • Strumpf, I. J., Gonadoblastoma in a patient with gonadal dysgenesis. Amer. J. Obstet. Gynec. 92, 992–995 (1965).

    PubMed  CAS  Google Scholar 

  • Taylor, H. B., In: Pathology annual, vol. 1, ed. by S. C. Sommers, p. 127–147. New York: Appleton-Century-Crofts 1966.

    Google Scholar 

  • Teilum, G., Classification of testicular and ovarian androblastoma and Sertoli cell tumors. A survey of comparative studies with consideration of histogenesis, endocrinology, and embryological theories. Cancer (Philad.) 11, 769–782 (1958).

    Article  CAS  Google Scholar 

  • Teter, J., An usual gonadal tumour (gonadoblastoma) in a male pseudo-hermaphrodite with testicular dysgenesis. J. Obstet. Gynaec. Brit. Emp. 67, 238–242 (1960).

    Article  PubMed  CAS  Google Scholar 

  • Teter, J., Philip, J., Wecçevicz, G., and Potocki, J., A masculinizing mixed germ cell tumour (Gonocytoma III). Acta endocr. (Kbh.) 46, 1–11 (1964).

    CAS  Google Scholar 

  • Teter, J., Philip, J., and Weçevicz, G., “Mixed” gonadal dysgenesis with gonadoblastoma in situ. Amer. J. Obstet. Gynec. 90, 929–935 1964 ).

    PubMed  CAS  Google Scholar 

  • Usizima, H., Ovarian dysgerminoma associated with masculinization. Report of a case. Cancer (Philad.) 9, 736–739 (1956).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1968 Springer-Verlag Berlin · Heidelberg

About this paper

Cite this paper

Scully, R.E. (1968). Sex Cord-Mesenchyme Tumours. In: Gentil, F., Junqueira, A.C. (eds) Ovarian Cancer. UICC Monograph Series, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87755-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-87755-1_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-87757-5

  • Online ISBN: 978-3-642-87755-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics