GPR: 2019 - Week 24

• GPR Quiz
• Answer
• DDx1
• DDx2
• DDx3
• Acknowledgments
• Reference(s)

Clinical history

50-year-old woman with unilateral adnexal mass

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Adult granulosa cell tumor 2-3% primary ovarian malignancies Wide age range, median 50 years Usually unilateral Median size 12 cm Yellow to white with solid cut surface +/- cystic component Necrosis and hemorrhage (torsion)

Endometrioid adenocarcinoma 10-25% primary ovarian carcinomas Wide age range, mean 51 years Usually unilateral Mean size 11 cm Tan white with solid cut surface +/- cystic component Necrosis and hemorrhage

Metastatic carcinoma (Krukenberg tumor) Uncommon Wide age range Often bilateral Size 5-10 cm Tan white solid cut surface +/- cystic component Necrosis

Fibroma 4% ovarian tumors (70% of sex cord stromal tumors) Wide age range, mean 50 years Usually unilateral Mean size 5-6 cm White solid cut surface +/- cystic component Necrosis and hemorrhage (torsion)

• Ayse Ayhan, M.D. - www.pathologyoutlines.com/topic/ovarytumorendometrioidcarcinoma.html
• AFIP images contributed by Rex Bentley, M.D. - www.pathologyoutlines.com/topic/ovarytumorfibroma.html

• Rosemary Tambouret
• Emilio Madrigal

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This week's Gross Pathology Roundup was presented by [[| , ]] on Mon, Jun 10, 2019.