Speculation and Deductive Reasoning About Ovarian Epithelial Carcinogenesis and New Horizons

Albert Altchek, Liane Deligdisch, Frédŕique Penault-Llorca

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

2 Scopus citations

Abstract

Most ovarian carcinomas develop from surface type epithelium. Approximately90% of these are sporadic in nature and develop from acquired somatic mutations and the remaining 10% result from an inherited tendency with an increased incidence and earlier onset, usually associated with inherited germplasm mutations. This chapter highlights deductive reasoning about ovarian epithelial carcinogenesis and gives insights on new horizons. Deductive reasoning essentially explains cancer formation in inclusion cysts, the role of the stroma, the time period for cancer to develop, the myth of the “evil genius” cancer, the superficial nature of most intraperitoneal metastases, mechanism of multifocal peritoneal carcinomatosis, and a reason for recurrence. Recent advances in research are opening many new horizons and suggest for improved researcher communication, improved ultrasound resolution and serum tumor markers, and chemoprevention.

Original languageEnglish
Title of host publicationDiagnosis and Management of Ovarian Disorders, Second Edition
PublisherElsevier
Pages305-323
Number of pages19
ISBN (Electronic)9780120536429
DOIs
StatePublished - 1 Jan 2003

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