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Primary peritoneal serous borderline tumors.

Robert L Hutton1, Scott R Dalton

  • 1Department of Pathology and Laboratory Services, Brooke Army Medical Center, 3856 Roger Brooke Dr, Fort Sam Houston, TX 78234, USA. robert.hutton@amedd.army.mil

Archives of Pathology & Laboratory Medicine
|January 18, 2007
PubMed
Summary
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Primary peritoneal serous borderline tumors are rare growths that can mimic ovarian cancer. Consider this diagnosis for peritoneal epithelial lesions with psammoma bodies, especially in non-gynecologic cases.

Area of Science:

  • Gynecologic Pathology
  • Surgical Pathology

Background:

  • Primary peritoneal serous borderline tumor (PPSBT) is a rare epithelial proliferation.
  • It can be incidentally found during laparotomy.
  • PPSBT raises concern for primary ovarian tumors with peritoneal implants.

Purpose of the Study:

  • To provide a historical overview of PPSBT.
  • To describe its distinct histology and clinical presentation.
  • To review differential diagnoses, including mesothelial proliferations, endosalpingiosis, endometriosis, high-grade primary peritoneal papillary serous carcinoma, and ovarian serous neoplasms.

Main Methods:

  • Literature search of PubMed (1966-2005).
  • Review of article references.
  • Consultation of surgical pathology texts.

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Main Results:

  • Primary peritoneal serous borderline tumor requires consideration in differential diagnoses.
  • Key features include epithelial proliferation and psammoma bodies on peritoneal surfaces.
  • Distinguishing PPSBT from other peritoneal lesions is crucial.

Conclusions:

  • Primary peritoneal serous borderline tumor should be considered in the differential diagnosis.
  • Consideration is warranted for epithelial proliferations with psammoma bodies on peritoneal surfaces.
  • This is particularly relevant for specimens submitted for nongynecologic complaints.