Fischer R
Strahlentherapie. 1977 May;153(5):308-13.
A review of the principles of histological classification of the malignant ovarian tumours is given. In the center of the discussion figure the tumours originating from the surface epithelium, which make up the majority of ovarian tumours. In dependence on the tumour type they differ in tendency to spread and in prognosis. The clinico-pathological serial examinations existing so far stress the importance of the histopathologic differentiation between facultatively malignant ovarian tumours (borderline tumours) and indubitable carcinomas. Close relations between the type of a tumour and its tendency to spread manifest themselves, for instance, by the different frequency of an affection of both the ovaries, which relates to the different types of carcinomas. Apart from the lymphogenic dissemination, an early development of metastases to the diaphragm seems to have a particular bearing on the spreading of ovarian cancers.
本文综述了卵巢恶性肿瘤的组织学分类原则。讨论的核心是起源于表面上皮的肿瘤,它们构成了卵巢肿瘤的大部分。根据肿瘤类型的不同,其扩散倾向和预后也有所差异。迄今为止的临床病理系列检查强调了卵巢交界性肿瘤(潜在恶性肿瘤)和明确癌之间组织病理学区分的重要性。肿瘤类型与其扩散倾向之间的密切关系表现为,例如,双侧卵巢受累的不同频率,这与不同类型的癌有关。除了淋巴源性播散外,卵巢癌转移至膈肌的早期发展似乎对其扩散具有特别重要的影响。