Ermilova V D, Korolenkova L I
Arkh Patol. 1982;44(12):17-23.
Clinical and morphological data on 37 observations of a rare neoplasm, clear-cell adenocarcinoma of the ovaries (CAO), are presented. Studies of the microstructure permitted the authors to distinguish 4 histological variants: tubular, papillary, solid, and mixed. Comparison of the data on the three-year survival rate with different histological variants of the tumor in all stages and within stage I revealed a higher survival rate in patients with the tubular variant of CAO which is considered to be more favourable prognostically. The data of 3-year survival rate of all the patients (32.8 +/- 7.9%), and of those in stage I, with the tubular variant (88.9 +/- 10.5%), papillary and mixed variants taken together (23 +/- 11.5%), are presented. In the latter the survival rate is much lower than in the tubular variant of the tumor. The variant of the CAO microstructure should be included into the diagnosis.
本文呈现了37例罕见肿瘤——卵巢透明细胞腺癌(CAO)的临床和形态学数据。通过对微观结构的研究,作者区分出4种组织学变体:管状、乳头状、实性和混合型。对所有分期及I期内不同组织学变体肿瘤的三年生存率数据进行比较后发现,CAO管状变体患者的生存率更高,这在预后方面被认为更有利。文中给出了所有患者(32.8±7.9%)以及I期患者中管状变体(88.9±10.5%)、乳头状和混合型变体患者(23±11.5%)的三年生存率数据。在后者中,生存率远低于肿瘤的管状变体。CAO微观结构变体应纳入诊断。