Ovary tumor
Other tumors not specific to ovary
PNET / Ewing sarcoma

Author: Nalini Gupta, M.D. (see Authors page)

Revised: 6 July 2016, last major update December 2014

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed Search: Peripheral primitive neuroectodermal tumor [title] ovary
Definition / General
  • Neuroectodermal tumors of ovary classified into 3 types: well, moderate and poorly differentiated
  • PNET is poorly differentiated NET of ovary
  • PNET is monophasic teratoma of ovary composed exclusively of neuroectodermal element
  • Most common of all neuroectodermal ovarian tumors
  • Morphologically resembles PNET of brain, also called 'central' PNET
  • Aggressive tumors treated by chemotherapy and surgery
Epidemiology
  • Young women 10-30 years
Sites
  • Most common in kidney; also bone and soft tissue
Clinical Features
  • Abdominal / pelvic pain
Diagnosis
  • Final diagnosis is confirmed by IHC
Radiology Description
  • USG: solid ovarian mass
Prognostic Factors
Case Reports
Treatment
  • Surgery, radiation therapy, multi-agent chemotherapy, or combination
  • Chemotherapy is with vincristine, doxorubicin, cyclophosphamide, and more recently ifosfamide and etoposide (Korean J Obstet Gynecol 2012;55:777)
Clinical Images

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MRI and positron emission tomography

Gross Description
  • Large solid friable tumor with grey-white cut surface
Gross Images

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Ovarian cyst

Micro Description
  • Solid nests and sheets of monotonous, primitive and small round cells
  • Numerous mitotic figures
  • Rosettes with central lumen, neuroblastic rosettes, neuropil or foci of glial differentiation present
Micro Images

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Main tumor - teratoma, H&E

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Nodular focus of PNET, H&E

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Fibrous bands and rosettes - kidney, H&E

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H&E, vimentin, synaptophysin, CD99

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CD99+, kidney


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LCA-, NSE-

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Strong immunoreactivity for CD99

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Immunoreactivity for CD99, vimentin, and CK5 markers

Virtual Slides
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PNET of ovary

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PNET of kidney

Positive Stains
Negative Stains
Molecular / Cytogenetics Description
  • t(11;22)(q24;q12), EWS-FLI1 chimeric RNA
  • Overexpression of N-myc and EGFR
  • Underexpression of Rb and ARHI
Differential Diagnosis