报告还没发，做了几个免疫组化，结果还没出，等出来告诉大家。

 我英文不好，找人翻译了一下赵老师的话，如下：

仅仅是凭图片，有点困难。透明细胞癌应该考虑到，但是细胞形态学更像是交界性肿瘤，见有局灶性间质浸润。根据浸润的区域判断，我们考虑为低级别浆液性癌或者交界性浆液性肿瘤伴有微浸润。
透明细胞癌与交界性浆液性肿瘤伴有微浸润（或者低级别浆液性癌）的预后及治疗均不一样。因此，病理学诊断非常重要。楼主在发出报告之前必须诊断正确。
另外一点，卵巢浆液性癌包括低级别和高级别，大多数卵巢浆液性癌都是高级别的，低级别的很少。浆液性交界性肿瘤也可以进展为癌——低级别浆液性癌。

 Difficult case based on photos only. CCC should be considered. But cytomorphology is more like serous borderline tumor with focal stromal invasion. Depending on the areas of invasion, we can call low grade serous carcinoma or serous border line tumor with microinvasion.

The prognosis and treatment of ccc and serous border line tumor with microinvasion (or low grade serous ca) are different. So the pathology dx is very important. louzhu must be sure your dx before you release the case.

Another point is that ovarian serous ca includes high grade and low grade types. Most of the ovarian serous carcinoma are high grade type. Rare are low grade type. Serous borderline tumor can be progress to carcinoma--low grade serous ca.

    赞同。

 图片很漂亮！

癌。原发考虑CCC,SC。继发考虑来自肺？