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D efinition — Endometriotic epithelium with noncomplex architecture and nuclear atypia. Clinical Features Pathogenesis Occurs in endometriotic cysts. Possibly a very early neoplastic change akin to other lesions associated with endometriomas, such as müllerian mucinous cystadenomas, adenofibromas, and well-differentiated endometrioid…

D efinition — Endometriotic epithelium with focal noncomplex mucinous differentiation. Clinical Features Pathogenesis Occurs in endometriotic cysts. Probably a very early neoplastic change akin to other lesions associated with endometriomas, such as müllerian mucinous cystadenomas, adenofibromas, and well-differentiated endometrioid adenocarcinomas.…

D efinition — An expansion of the ovarian cortex and medulla by a benign proliferation of ovarian cortical stromal cells and associated luteinized cells. Cortical stromal hyperplasia (CSH) is a mild form seen at menopause; stromal hyperthecosis is a more…

D efinition — Benign incidental ovarian cyst most often noted in pregnant women. Clinical Features Epidemiology Uncommon to rare. Most often noted in pregnant or recently postpartum women. Can also be seen in nonpregnant, usually reproductive-age, women. You’re Reading a…

D efinition — A constellation of findings in the ovary during gestation. Clinical Features Epidemiology Related to the pregnancy state. Linked to the effects of gonadotropins on the ovarian cortex. Can be particularly pronounced during multiple-gestation pregnancies and hydatidiform moles.…

PITFALL D efinition — A benign sectioning artifact that can be mistaken for neoplasia. Clinical Features Epidemiology Reproductive-age women. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are…

D efinition — A low-grade neoplasm that is thought to arise in the mesonephric remnants of the broad ligament. Clinical Features Epidemiology Female adnexal tumors of (probable) wolffian origin (FATWOs) are rare neoplasms, and no clinical or demographic associations have…

D efinition — Intraepithelial neoplasms of presumed nontubal origin. Clinical Features Epidemiology Uncommon but a function of the thoroughness to which the tube is examined. Can be seen with both gynecologic and nongynecologic tumors. Mucosal involvement will be seen in…

D efinition — Adenocarcinoma arising in the tubal mucosa. Clinical Features Epidemiology Historically a small fraction (5% or less) of pelvic serous carcinomas relative to the ovary; however, with the attention being paid to the distal tube (using the section…

D efinition — Psammous calcifications in the lumen and plica of the fallopian tube. Clinical Features Epidemiology Uncommon. Approximately one half are associated with low-grade serous tumors of the ovary (borderline or low-grade malignancies). You’re Reading a Preview Become a…