Abstract
Objective
Ovarian surface epithelial tumors rarely have heterologous elements including bone or cartilage that may appear histologically benign or malignant. There are a few case reports in the literature of ovarian tumors containing chondromatous areas.
Case
We report a clear cell carcinoma of the bilateral ovary showing chondromatous differentiation in a 56-year-old woman. Histopathologic study of the specimen showed clear cell carcinoma with many small foci of chondromatous differentiation. Immunohistochemical studies demonstrated positivity for S-100 confirming the diagnosis. The patient was alive with disease on chemotherapy for 16 months.
Conclusion
A rare case of benign appearing chondromatous differentiation in an ovarian clear cell carcinoma of the ovary is described, and the significance of this finding is discussed.
Similar content being viewed by others
References
Zaloudek C, Norris HJ (1994) Mesenchymal tumors of the uterus. In: Kurman RJ (ed) Blaustein’s pathology of the female genital tract, 4th edn. Springer-Verlag, Berlin, pp 487–528
Ho CM, Huang YJ, Chen TC, Huang SH, Liu FS, Chang Chien CC, Yu MH, Mao TL,Wang TY, Hsieh CY (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(1):197–203
Terada KY, Johnson TL, Hopkins M, Roberts JA (1989) Clinicopathologic features of ovarian mixed mesodermal tumors and carcinosarcomas. Gynecol Oncol 32(2):228–232
Solanki RL, Arora HL, Anand VK, Gupta R, Gehlot D (1989) Extrauterine mixed mesodermal tumour of ovary with heterologous element. Indian J Cancer 26(3):175–179
Boucher D, Tetu B (1994) Morphologic prognostic factors of malignant mixed mullerian tumors of the ovary: a clinicopathologic study of 15 cases. Int J Gynecol Pathol 13(1):22–28
Shannon B, Stan Wisniewski Z, Bentel J, Cohen RJ (2002) Adult rhabdoid renal cell carcinoma. Arch Pathol Lab Med 126(12):1506–1510
Leath CA 3rd, Huh WK, Conner M, Barnes MN 3rd (2003) Primary extrarenal rhabdoid tumor of the ovary. A case report. J Reprod Med 48(4):283–286
Yokoo H, Arai H, Isoda K, Nakazato Y, Nakayama Y, Suzuki Y, Hatakeyama S (1999) Esophageal undifferentiated carcinoma displaying marked chondroid differentiation at metastatic foci. Pathol Int 49(4):358–363
Ajiki T, Nakamura T, Fujino Y, Suzuki Y, Takeyama Y, Ku Y, Kuroda Y, Ohbayashi C (2002) Carcinosarcoma of the gallbladder with chondroid differentiation. J Gastroenterol 37(11):966–971
Ninomiya J, Oyama T, Horiguchi J, Koibuchi Y, Yoshida T, Iijima K, Yoshida M, Takata D, Morishita Y (2004) Two cases of breast cancer with cartilaginous and osseous metaplasia. Breast Cancer 12:52–56
Kim YJ, Shim HS, Lee H, Jung WH (2006) Metaplastic carcinoma with extensive chondroid differentiation in the breast chondroid carcinoma. Yonsei Med J 47(2):259–263
Tanimoto A, Arima N, Hayashi R, Hamada T, Matsuki Y, Sasaguri Y (2001) Teratoid carcinosarcoma of the ovary with prominent neuroectodermal differentiation. Pathol Int 51(10):829–832
Sinkre P, Milchgrub S, Miller DS, Albores-Saavedra J, Hameed A (2000) Uterine metastasis from a heterologous metaplastic breast carcinoma simulating a primary uterine malignancy. Gynecol Oncol 77(1):216–218
Domoto H, Mano Y, Kita T, Kikuchi Y, Sato K, Aida S, Tamai S (2000) Chondrosarcomatous differentiation in metastatic deposit of serous papillary cystadenocarcinoma. Pathol Int 50(6):497–501
Moritani S, Moriya T, Kushima R, Sugihara H, Harada M, Hattori T (2001) Ovarian carcinoma recurring as carcinosarcoma. Pathol Int 51(5):380–384
Guarino M, Giordano F, Pallotti F, Polizzotti G, Tricomi P, Cristofori E (1998) Malignant mixed mullerian tumor of the uterus. Features favoring its origin from a common cell clone and an epithelial-to-mesenchymal transformation mechanism of histogenesis. Tumori 84(3):391–397
Thompson L, Chang B, Barsky SH (1996) Monoclonal origins of malignant mixed tumors (carcinosarcomas): evidence for a divergent histogenesis. Am J Surg Pathol 20:277–285
Author information
Authors and Affiliations
Corresponding author
Additional information
This paper was accepted as a poster at the 17th National Congress of Pathology, October 8–13, 2007, Istanbul.
Rights and permissions
About this article
Cite this article
Akbulut, M., Zekioglu, O., Terek, M.C. et al. Chondromatous differentiation in clear cell carcinoma of the ovary: a rare finding challenging the differential diagnosis. Arch Gynecol Obstet 278, 569–572 (2008). https://doi.org/10.1007/s00404-008-0624-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-008-0624-5