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Atypical Proliferating Epithelial Neoplasm (Borderline Tumors)
Etiology

unknown
Pathogenesis

Unknown.
May derive from surface epithelium of ovary or from endometriotic implants
,
Epidemiology

Increases with increasing age
Upward trend in incidence
15% of all ovarian epithelial neoplasia
General Gross Description

The serous and mucinous neoplasms are both cystic and often multicystic.
Papillations may be identified grosly.
Endometrioid and clear cell types are exceedingly rare.
•Examples:
General Microscopic Description

Neoplastic cells do not invade the ovarian stroma in these neoplasms.
Mucinous and serous tumors show epithelial stratification, mitotic activity and nuclear atypism also occur.
Serous neoplasms also show the formation of epithelial papillae.
•Examples:
Atypical Proliferating Mucinous Neoplasm (10X) Atypical Proliferating Mucinous Neoplasm (20X)
References

Harlow BL,Epidemiology of borderline ovarian tumors. J Natl Cancer Inst 78(1), 71-74 (1987)
Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1067.

For Most Current Information Search Medline at National Library of Medicine
This link will directly take you to the relevant new literature
Atypical Proliferating Epithelial Neoplasm (Borderline Tumors)
Synopsis by: Melinda Sanders M.D. (T87000M84701)[256]
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