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Case 132

A 76 year old male with a large ovarian mass.


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  1. What's the diagnosis?

    A: High grade serous carcinoma

    B: Low grade serous carcinoma

    C: Clear cell carcinoma

    D: Endometrioid carcinoma



Answer

The correct answer is A. Although the papillary structure may raise the possibility of clear cell carcinoma of mesonephric like adenocarcinoma. The cytological atypia including pleomorphism and hyperchromatic nuclei are more compatible with high grade serous carcinoma.

Case credit: UCSD Pathology

Author: Wangpan Jackson Shi, MD


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