Hormone production in ovarian carcinomas. Histochemical approach in stroma reaction

Enzymatically active stromal cells (EASC) in different ovarian tumors are concerned with hormon production. 198 cases of ovarian tumors were investigated by different histochemical methods. Distribution of lactate-and glucose-6-phosphate-dehydrogenase was investigated by plaimetric measurement.--EASC were found in benign ovarian tumors in 48%, in malignant in 30%. They are found exclusively in ovarian tumors and are completely absent in metastases. Incidence is dependent on histological type of tumor. With regard to untreated ovarian carcinoma containing EASC, these cells cover an aerea of 1.9% (0.5-5.9%). EASC occur in a very high percentage after menopause and are reduced by chemotherapy or radioation. Incidence of EASC in ovarian tumors is in relation with postmenopausal bleeding. Glandular-cystic endometrium is noticed only in connection with EASC. There is a positive relation between the quantity of EASC and the incidence of bleeding.--EASC are characterized by a strong NADP-dependent-dehydrogenase-reaction and reactions for lactate-, malate-dehydrogenases and alcaline phosphatases. Apart from that these cells are not all uniform. It seems that the enzymatically active fibrocytes are the first step of theca-like cells which are then luteinized and finally filled up with cholesterol. Histochemistry of EASC in comparison with other steroid-producing tissues make possible, that these cells have an estrogenic and more seldomly also an androgenic activity.