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Author: Mikael Häggström [notes 1]


Generally 10% neutral buffered formalin.


Gross processing

"Long" and "short" axis.[1]

The ovary is cut in the longitudinal plane (through the "long axis").

Ovaries, including those with cysts, are almost never inked.

Gross report


(A. Labeled - __. The specimen is received in formalin and consists of) an ovary measuring ___. The ovarian capsule is tan-pink and smooth. Cut sections reveal solid, white and whorled parenchyma, and no gross lesions. Representative sections are submitted for microscopic examination in __ cassettes.

Microscopic examination

Signet ring cell carcinoma metastasis to the ovary, also called Krukenberg tumor: Gross pathology (top, cross-section at right) and histopathology at low and high magnification.[2]

Generally look for signet ring cells, which is a major feature of metastatic tumors to the ovary.

See also


  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page


  1. Pellerito, John; Polak, Joseph F. (2012). Introduction to Vascular Ultrasonography (6th ed.). Elsevier Health Sciences. p. 559. ISBN 978-1-4557-3766-6. 
  2. Nakamura, Yoshiaki; Hiramatsu, Ayako; Koyama, Takafumi; Oyama, Yu; Tanaka, Ayuko; Honma, Koichi (2014). "A Krukenberg Tumor from an Occult Intramucosal Gastric Carcinoma Identified during an Autopsy ". Case Reports in Oncological Medicine 2014: 1–5. doi:10.1155/2014/797429. ISSN 2090-6706. 
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