Skip to main content

Clear Cell Carcinoma of the Ovary: Prognosis Using Cytoreductive Surgery

  • Chapter
  • First Online:
Methods of Cancer Diagnosis, Therapy, and Prognosis

Part of the book series: Methods of Cancer Diagnosis, Therapy and Prognosis ((HAYAT,volume 6))

  • 1623 Accesses

Abstract

Clear cell carcinoma of the ovary was initially termed as “mesonerhroma ovarii” by Schiller (1939), as the tumor resembled renal cell carcinoma and was believed to originate from mesonephric structure. Approximately, three decades ago, it was strictly defined by the World Health Organization classification of ovarian tumors (Serov et al. 1973) as lesions characterized by clear cells growing in solid/tubular or glandular patterns as well as hobnail cells. Recently, many publications have identified the distinctive clinical behavior of clear cell carcinoma; resistance to platinum-based chemotherapy (Omura et al. 1991) and poor prognosis in comparison with other histologic subtypes (Sugiyama et al. 2000; Pectasides et al. 2006). The distinguished characteristics of clear cell carcinoma are described in this chapter: clinical and molecular characteristics of the tumor and prognosis after comprehensive cytoreductive surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Behbakht, K., Randall, T.C., Benjamin, I., Morgan, M.A., King, S., and Rubin, S.C. (1998) Clinical characteristics of clear cell carcinoma of the ovary. Gynecol. Oncol. 70:255–258

    Article  PubMed  CAS  Google Scholar 

  • Cass, I., Li, A.J., Runowicz, C.D., Fields, A.L., Goldberg, G.L., Leuchter, R.S., Lagasse, L.D., and Karlan, B.Y. (2001) Pattern of lymph node metastases in clinically unilateral stage I invasive epithelial ovarian carcinomas. Gynecol. Oncol. 80:56–61

    Article  PubMed  CAS  Google Scholar 

  • Enomoto, T., Kuragaki, C., Yamasaki, M., Sugita, N., Otsuki, Y., Ikegami, H., Matsuzaki, N., Yamada, T., Wakimoto, A., and Murata, Y. (2003) Is clear cell carcinoma., and mucinous carcinoma. of the ovary sensitive to combination chemotherapy with paclitaxel and carboplatin? Proc. Am. Soc. Clin. Oncol. 22:447 (abstr 1797)

    Google Scholar 

  • Heintz, A.P.M., Odicino, F., Maisonneuve, P., Quinn, M.A., Benedet, J.L., Creasman, W.T., Ngan, H.Y., Pecorelli, S., and Beller, U. (2006) Carcinoma of the ovary. Int. J. Gynecol. Obstet. 95(supp 1):S161–S192

    Article  Google Scholar 

  • Hirasawa, A., Saito-Ohara, F., Inoue, J., Aoki, D., Susumu, N., Yokoyama, T., Nozawa, S., Inazawa, J., and Imoto, I. (2003) Association of 17q21–q24 gain in ovarian clear cell adenocarcinomas with poor prognosis. and identification of. PPMD1 and APPBP2 as likely amplification targets. Clin. Cancer. Res. 9:1995–2004

    PubMed  CAS  Google Scholar 

  • Ho, E.S., Lai, C.R., Hsieh, Y.T., Chen, J.T., Lin, A.J., Hung, M.H., and Liu, F.S. (2001) p53 mutation is infrequent in clear cell carcinoma of the ovary. Gynecol. Oncol. 80:189–193

    Article  PubMed  CAS  Google Scholar 

  • Ho, C.M., Huang, Y.J., Chen, T.C., Huang, S.H., Liu, F.S., Chang Chien, C.C., Yu, M.H., Mao, T.L., Wang, T.Y., and Hsieh, C.Y. (2004) Pure-type clear cell carcinoma of the ovary as a distinct histological type. and improved survival. in patients treated with paclitaxel-platinum-based chemotherapy in pure-type advanced disease. Gynecol. Oncol. 94:197–203

    Article  PubMed  CAS  Google Scholar 

  • Itamochi, H., Kigawa, J., Sugiyama, T., Kikuchi, Y., Suzuki, M., and Terakawa, N. (2002a) Low proliferation activity may be associated with chemoresistance in clear cell carcinoma of the ovary. Obstet. Gynecol. 100:281–287

    Article  PubMed  Google Scholar 

  • Itamochi, H., Kigawa, J., Akeshima, R., Sato, S., Kamazawa, S., Takahashi, M., Kanamori, Y., Suzuki, M., Ohwada, M., and Terakawa, N. (2002b) Mechanisms of cisplatin resistance in clear cell carcinoma of the ovary. Oncology 62:349–353

    Article  PubMed  CAS  Google Scholar 

  • Kanazawa, K., Suzuki, T., and Tokashiki, M. (1999) The validity. and significance of. substage IIIC by node involvement in epithelial ovarian cancer: impact of nodal metastasis on patient survival. Gynecol. Oncol. 73:237–241

    Article  PubMed  CAS  Google Scholar 

  • Kaneuchi, M., Sasaki, M., Tanaka, Y., Shiina, H., Yamada, H., Yamamoto, R., Sakuragi, N., Enokida, H., Verma, M., and Dahiya, R. (2005) WT1 and WT1-AS genes are inactivated by promoter methylation in ovarian clear cell adenocarcinoma. Cancer 104:1924–1930

    Article  PubMed  CAS  Google Scholar 

  • Kennedy, A.W., Biscotti, C.V., Hart, W.R., and Webster, K.D. (1989) Ovarian clear cell adenocarcinoma. Gynecol. Oncol. 32:342–349

    Article  PubMed  CAS  Google Scholar 

  • Kobayashi, H., Sumimoto, K., Moniwa, N., Imai, M., Takakura, K., Kuromaki, T., Morioka, E., Arisawa, K., and Terao, T. (2007) Risk of developing ovarian cancer among women with ovarian endometrioma: a cohort study in Shizuoka., Japan. Int. J. Gynecol. Cancer 17:37–43

    Article  PubMed  CAS  Google Scholar 

  • Leitao, M.M. Jr, Boyd, J., Hummer, A., Olvera, N., Arroyo, C.D., Venkatraman, E., Baergen, R.N., Dizon, D.S., Barakat, R.R., and Soslow, R.A. (2004) Clinicopathologic analysis of early-stage sporadic ovarian carcinoma. Am. J. Surg. Pathol. 28:147–159

    Article  PubMed  Google Scholar 

  • McGuire, W.P., Hoskins, W.J., Brady, M.F., Kucera, P.R., Partridge, E.E., Look, K.Y., Clarke-Pearson, D.L. and Davidson, M. (1996) Cyclophosphamide and cisplatin compared with paclitaxel., and cisplatin in. patients with stage II.I., and stage IV. ovarian cancer. N. Eng. J. Med. 334:1–6

    Article  CAS  Google Scholar 

  • Mizuno, M., Kikkawa, F., Shibata, K., Kajiyama, H., Ino, K., Kawai, M., Nagasaka, T., and Nomura, S. (2006) Long-term follow-up prognostic factor analysis in clear cell adenocarcinoma of the ovary. J. Surg. Oncol. 94:138–143

    Article  PubMed  Google Scholar 

  • Morice, P., Joulie, F., Camatte, S., Atallah, D., Rouzier, R., Pautier, P., Pomel, C., Lhomme, C., Duvillard, P., and Castaigne, D. (2003) Lymph node involvement in epithelial ovarian cancer: analysis of 276 pelvic and paraaortic lymphadenectomies., and surgical implications.. J. Am. Coll. Surg. 197:198–205

    Article  PubMed  Google Scholar 

  • Negishi, H., Takeda, M., Fujimoto, T., Todo, Y., Ebina, Y., Watari, H., Yamamoto, R., Minakami, H., and Sakuragi, N. (2004) Lymphatic mapping., and sentinel node. identification as related to the primary sites of lymph node metastasis in early stage ovarian cancer. Gynecol. Oncol. 94:161–166

    Article  PubMed  Google Scholar 

  • Ohishi, Y., Oda, Y., Uchiumi, T., Kobayashi, H., Hirakawa, T., Miyamoto, S., Kinukawa, N., Nakano, H., Kuwano, M., and Tsuneyoshi, M. (2002) ATP-binding cassette superfamily transporter gene expression in human primary ovarian carcinoma. Clin. Cancer. Res. 8:3767–3775

    PubMed  CAS  Google Scholar 

  • Omura, G.A., Brady, M.F., Homesley, H.D., Yordan, E., Major, F.J., Buchsbaum, H.J., and Park, R.C. (1991) Long-term follow-up prognostic factor analysis in advanced ovarian carcinoma: the Gynecologic Oncology Group experiences. J. Clin. Oncol. 9:1138–1150

    PubMed  CAS  Google Scholar 

  • Onda, T., Yoshikawa, H., Yasugi, T., Mishima, M., Nakagawa, S., Yamada, M., Matsumoto, K., and Taketani, Y. (1998) Patients with ovarian carcinoma upstaged to stage III after systematic lymphadenctomy have similar survival to Stage I/II patients. and superior survival. to other Stage III patients. Cancer 83:1555–1560

    Article  PubMed  CAS  Google Scholar 

  • Pectasides, D., Fountzilas, G., Aravantinos, G., Kalofonos, C., Efstathiou, H., Farmakis, D., Skarlos, D., Pavlidis, N., Economopoulos, T., and Dimopoulos, M.A. (2006) Advanced stage clear-cell epithelial ovarian cancer: The Hellenic cooperative oncology group experience. Gynecol. Oncol. 102:285–291

    Article  PubMed  Google Scholar 

  • Sakuragi, N., Yamada, H., Oikawa, M., Okuyama, K., Fijino, T., Sagawa, T., and Fujimoto, S. (2000) Prognostic significance of lymph node metastasis. and clear cell. histology in ovarian carcinoma limited to the pelvis (pT1M0 and pT2M0). Gynecol. Oncol. 79:251–255

    Article  PubMed  CAS  Google Scholar 

  • Sato, N., Tsunoda, H., Nishida, M., Morishita, Y., Takimoto, Y., Kubo, T., and Noguchi, M. (2000) Loss of heterozygosity on 10q23.3 and mutation of the tumor suppressor gene PTEN in benign endometrial cyst of the ovary: possible sequence progression from benign endometrial cyst to endometrioid carcinoma. and clear cell. carcinoma of the o. Cancer. Res. 60:7052–7056

    PubMed  CAS  Google Scholar 

  • Schiller W (1939) Mesonephroma ovarii. Am. J. Cancer. 35:1–21

    Google Scholar 

  • Sekizawa, A., Amemiya, S., Otsuka, J., Saito, H., Farina, A., Okai, T., and Tachikawa, T. (2004) Malignant transformation of endometriosis: application of laser microdissection for analysis of genetic alterations according to pathological changes. Med. Electron. Microsc. 37:97–100

    Article  PubMed  Google Scholar 

  • Serov, S.F., Scully, R.E., Sobin, LH (1973) International histologic classification of tumors. In No.9. Histologic typing of ovarian tumors., World Health Organization., Geneva

    Google Scholar 

  • Sugiyama, T., Kamura, T., Kigawa, J., Terakawa, N., Kikuchi, Y., Kita, T., Suzuki, M., Sato, I., and Taguchi, K. (2000) Clinical characteristics of clear cell carcinoma of the ovary. Cancer 88:2584–2589

    Article  PubMed  CAS  Google Scholar 

  • Takano, M., Kikuchi, Y., Yaegashi, N., Kuzuya, K., Ueki, M., Tsuda, H., Suzuki, M., Kigawa, J., Takeuchi, S., Tsuda, H., Moriya, T., and Sugiyama, T. (2006a) Clear cell carcinoma of the ovary: a retrospective multicentre experience of 254 patients with complete surgical staging. Br. J. Cancer 94:1369–1371

    Article  PubMed  CAS  Google Scholar 

  • Takano, M., Kikuchi, Y., Yaegashi, N., Suzuki, M., Tsuda, H., Sagae, S., Udagawa, Y., Kuzuya, K., Kigawa, J., Takeuchi, S., Tsuda, H., Moriya, T., and Sugiyama, T. (2006b) Adjuvant chemotherapy with irinotecan hydrochloride. and cisplatin for. clear cell carcinoma of the ovary. Oncol. Rep. 16:1301–1306

    PubMed  CAS  Google Scholar 

  • Takeshima, N., Hirai, Y., Umayahara, K., Fujiwara, K., Takizawa, K., and Hasumi, K. (2005) Lymph node metastasis in ovarian cancer: difference between serous and non-serous primary tumors. Gynecol. Oncol. 99:427–431

    Article  PubMed  Google Scholar 

  • Tsuchiya, A., Sakamoto, M., Yasuda, J., Chuma, M., Ohta, T., Ohki, M., Yasugi, T., Taketani, Y., and Hirohashi, S. (2003) Expression profiling in ovarian clear cell carcinoma: identification of hepatocyte nuclear factor-1 beta as a molecular marker. and a possible. molecular target for therapy of ovarian clear cell carcinoma. Am. J. Pathol. 163:2503–2512

    Article  PubMed  CAS  Google Scholar 

  • Tsuda, H., Ito, Y.M., Ohashi, Y., Wong, K.K., Hashiguchi, Y., Welch, W.R., Berkowitz, R.S., Birrer, M.J., and Mok, S.C. (2005) Identification of overexpression. and amplification of. ABCF2 in clear cell ovarian adenocarcinoma by cDNA microarray analysis. Clin. Cancer Res. 11:6880–6888

    Article  PubMed  CAS  Google Scholar 

  • Utsunomiya, H., Akahira, J., Tanno, S., Moriya, T., Toyoshima, M., Niikura, H., Ito, K., Morimura, Y., Watanabe, Y., and Yaegashi N. (2006) Paclitaxel–platinum combination chemotherapy for advanced or recurrent ovarian clear cell adenocarcinoma: a multicenter trial. Int. J. Gynecol. Cancer 16:52–56

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Takano, M., Sasaki, N., Sugiyama, T. (2010). Clear Cell Carcinoma of the Ovary: Prognosis Using Cytoreductive Surgery. In: Hayat, M. (eds) Methods of Cancer Diagnosis, Therapy, and Prognosis. Methods of Cancer Diagnosis, Therapy and Prognosis, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2918-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-90-481-2918-8_7

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-2917-1

  • Online ISBN: 978-90-481-2918-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics