Table 1: Classification, origin, and mechanism of epithelial ovarian cancer.
Tumor type |
Serous |
Endometrioid |
Clear cell |
Mucinous |
|
High-grade (Appendix 1) |
Low-grade |
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Incidence |
34% |
5% |
16% |
23% |
12% |
Tissue origin |
Fallopian tube epithelium |
Fallopian tube epithelium Ovarian surface epithelium |
Endometrial cells |
Endometrial cells |
Ovarian surface epithelium Brenner tumor (Appendix 4) |
Precancerous lesion |
STIC (Appendix 2) |
Borderline malignant tumor (Appendix 3) |
Atypical endometriosis |
Atypical endometriosis |
Borderline malignant tumor (Appendix 3) |
Molecular biological abnormalities |
p53 mutation BRCA1/2 mutation Chromosome instability |
KRAS mutation BRAF mutation (BRCA1/2 mutation) |
ERa high expression PI3KCA mutation CTNNB1 mutation ARID1A mutation BRCA1/2 mutation Microsatellite instability |
HNF-1b high expression PI3KCA mutation PTEN mutation ARID1A mutation |
KRAS mutation HER2 high expression |
Sensitivity to chemotherapy |
High |
Middle |
High |
Low |
Low |
HBOC (Appendix 5) |
+++ |
++ |
+ |
− |
− |
Type I/II |
Type II |
Type I |
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Incidence |
Europe, USA > Asia |
Europe, USA < Asia |
STIC (Appendix 2): serous tubal intraepithelial carcinoma, Borderline malignant tumor (Appendix 3): Borderline ovarian tumors are abnormal cells that form in the tissue overlying the ovary. They are not cancerous and are generally treated surgically. Approximately 15 out of 100 ovarian tumors (15%) are borderline tumors. They are also described as atypical proliferative tumors and were previously known as tumors of low malignant potential. They are different from ovarian cancer because they do not grow into the supportive tissue of the ovary (the stroma). Their growth is gradual and more controlled manner than cancer cells. Borderline tumors generally affect women aged between 20 and 40 years. They are usually diagnosed at an early stage when abnormal cells are still within the ovary.