Skip to main content
Log in

Chondromatous differentiation in clear cell carcinoma of the ovary: a rare finding challenging the differential diagnosis

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

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.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. 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

    Google Scholar 

  2. 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

    Article  PubMed  CAS  Google Scholar 

  3. Terada KY, Johnson TL, Hopkins M, Roberts JA (1989) Clinicopathologic features of ovarian mixed mesodermal tumors and carcinosarcomas. Gynecol Oncol 32(2):228–232

    Article  PubMed  CAS  Google Scholar 

  4. 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

    PubMed  CAS  Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. Shannon B, Stan Wisniewski Z, Bentel J, Cohen RJ (2002) Adult rhabdoid renal cell carcinoma. Arch Pathol Lab Med 126(12):1506–1510

    PubMed  Google Scholar 

  7. 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

    PubMed  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Article  PubMed  CAS  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. Moritani S, Moriya T, Kushima R, Sugihara H, Harada M, Hattori T (2001) Ovarian carcinoma recurring as carcinosarcoma. Pathol Int 51(5):380–384

    Article  PubMed  CAS  Google Scholar 

  16. 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

    PubMed  CAS  Google Scholar 

  17. 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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Osman Zekioglu.

Additional information

This paper was accepted as a poster at the 17th National Congress of Pathology, October 8–13, 2007, Istanbul.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-008-0624-5

Keywords

Navigation