Distinguishing lymph node metastases from benign glandular inclusions in low-grade ovarian carcinoma

摘要: In order to properly stage patients with ovarian carcinoma, we are routinely removing and microscopically examining sample aortic lymph nodes in these patients, since node metastases may affect long-term survival. Inasmuch as benign glandular inclusions can be found pelvic nodes, have run into difficulty distinguishing such from genuine cases of low-grade or borderline serous carcinomas. Atypical epithelium tumors closely resemble the lining inclusions. Moreover, like grow peripheral sinusoid, show epithelial papillae psammoma bodies, even proliferate small sheets cells. Just how crucial it is recognize will clarified when prognostic importance becomes understood.