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. Author manuscript; available in PMC: 2020 Jun 12.
Published in final edited form as: Nat Rev Dis Primers. 2016 Aug 25;2:16061. doi: 10.1038/nrdp.2016.61

Table 1 |.

Characteristics of ovarian cancer by histology, genomic characteristics and active therapies

Histological subtype Clinical findings Genetic characteristics Treatment options
High-grade serous carcinoma and high-grade endometrioid carcinoma
  • Can present with peritoneal carcinomatosis, ascites and/or pelvic mass

  • Typically advanced stage at presentation

  • Deficiencies in homologous recombination (50% of tumours)

  • Associated with BRCA and TP53 mutations

  • Platinum-based chemotherapy and poly(ADP-ribose) polymerase inhibitors

  • Tumours are initially sensitive to platinum-based chemotherapy, but most patients with advanced-stage cancer will recur

Low-grade serous carcinoma
  • Presents in younger patients (median reported age: 43–55 years81)

  • Can be early or late stage at presentation

  • Associated with KRAS and BRAF mutations

  • Tumours have genomic stability

  • MEK inhibitors (currently being tested in clinical trials) and hormonal therapies

Low-grade endometrioid carcinoma
  • Can be associated with endometriosis

  • Associated with PTEN, ARID1A and PIK3CA mutations

  • Can have microsatellite instability

  • Possible hormonal therapies (not yet established)

Clear-cell carcinoma
  • Can present with parenchymal metastases (in the liver and the lungs)

  • Can be associated with hypercoagulability and hypercalcaemia

  • Associated with ARID1A and PIK3CA mutations

  • Immunotherapy agents

  • Can be resistant to platinum-based chemotherapy

Mucinous carcinoma
  • Presents in younger patients and is typically early stage at presentation

  • Associated with KRAS mutations

  • Tends to be insensitive to chemotherapy but is still treated initially with cytotoxic chemotherapy