Ultrastructural and histochemical observations on serous ovarian cystadenomas.

One hundred and twelve serous ovarian cystadenomas (46 benign, 33 tumours of borderline malignancy and 33 malignant tumours) were investigated with histological and mucin histochemical methods. Electron microscopy was applied to 9 benign, 6 borderline and 5 malignant tumours. The epithelium of the benign serous cystadenomas contained ciliated and nonciliated columnar cells, which sometimes were edematous ("pale cells"), and smaller basal cells. The large Golgi apparatus with small secretory vesicles and occasional larger secretory granules was located in the apical cytoplasm. There were numerous pinocytotic vesicles at the basal plasma membrane. The extracellular mucin in the cystic lumen and the mucin on the apical epithelial border consisted of material with vic-glycols (1.2-hydroxyl groups) mixed with sulpho- and carboxymucin. With increasing degree of malignancy the number of ciliated cells diminished and were not found in the malignant epithelium. The number of nucleoli and the amount of carboxymucin with sialic acid residues increased with increasing degree of malignancy. However, there were no single consistent ultrastructural feature which could be considered as a reliable criterion for malignancy of these tumours in the absence of invasive growth. The findings support the view that serous ovarian cystadenomas are of coelomic origin.