1、间质细胞消失或纤维化：上皮萎缩 非肿瘤性病变细胞培养也证实这一点（本人课题）腹壁子宫内膜异位症病灶：（内膜样囊肿少见）间质细胞消失或纤维化：上皮不萎缩 肿瘤性病变内膜样囊肿病灶：（腹壁病灶少见）NapsinA出血 炎症内膜样囊肿病灶：间质细胞较丰富（激素依赖性的）不完全等同不等同WHO 2003WHO 2014包括属于宫颈胃-十二指肠像谁？WHO2014 P.25Shih“感性认识”上升到“理性认识”的过程“形态”上升到“机制”的过程WHO title浆粘存在Arid1a突变，与透明细胞肿瘤，内膜样肿瘤相似，而与浆液性肿瘤不同前三者与内膜样囊肿相关，而浆液性一般无关前三者WT1阴性，与浆液性不
2、同(Adv Anat Pathol 2013;20:4552)(WHO 2014)Taylor,J.and W.G.McCluggage(2015).Ovarian seromucinous carcinoma:report of a series of a newly categorized and uncommon neoplasm.Am J Surg Pathol 39(7):983-992.？P53WHO,2014significant crowding (bordline)clear cell carcinoma?Mandai,M.,et al.(2011).Ovarian clea
3、r cell carcinoma as a stress-responsive cancer:influence of the microenvironment on the carcinogenesis and cancer phenotype.Cancer Lett 310(2):129-133.e Contiguity between atypical clear cells(left)and atypical endometriosis(right)is seen.HE,200.f Contiguity between atypical endometriosis and clear cell adenocarcinoma is seen.Terada,T.(2012).Clear cell adenocarcinoma of the ovary arising in atypical endometriosis:a report of eight cases.Arch Gynecol Obstet 285(1):229-233.Blausteins,2011
