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ORIGINAL ARTICLE
Atypical reactive ovarian surface epithelium, a pitfall in pathologic assessment
  1. N. E. Aydin*,
  2. Ö. ÇELIK†,
  3. Ş. Hasçalik† and
  4. M. N. Edali*
  1. * Departments of Pathology, T. Ozal Medical Center, Inonu University, Malatya, TurkeyW
  2. † Departments of Obstetrics and Gynecology, T. Ozal Medical Center, Inonu University, Malatya, TurkeyW
  1. Address correspondence and reprint requests to: Önder Çelik MD, Department of Obstetrics and Gynecology, T. Ozal Medical Center, Inonu University Medical Faculty, 44069 Malatya, Turkey. Email: oncelik{at}inonu.edu.tr

Abstract

A 21-year-old parous woman was operated on due to a torsioned huge hemorrhagic benign ovarian mass. A wedge biopsy of the contralateral ovary revealed endophytic superficial cell clusters with atypical features raising suspicion of malignancy. Detailed pathologic and clinical workup proved these foci as reactive ovarian surface epithelium contrary to various initial interpretations as metastatic, deciduoid, or histiocytic by expert pathologists.

  • atypical
  • cellular proliferations
  • ovarian surface epithelium

http://dx.doi.org/10.1136/ijgc-00009577-200602001-00033

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