Table 1: Classification, origin, and mechanism of epithelial ovarian cancer.

Tumor type

Serous

Endometrioid

Clear cell

Mucinous

High-grade (Appendix 1)

Low-grade

Incidence

34%

5%

16%

23%

12%

Tissue origin

Fallopian tube epithelium
Ovarian surface epithelium

Fallopian tube epithelium Ovarian surface epithelium

Endometrial cells
Ovarian surface epithelium

Endometrial cells
Ovarian surface epithelium

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

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.