{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T04:57:42Z","timestamp":1768712262230,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,3,31]],"date-time":"2015-03-31T00:00:00Z","timestamp":1427760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Histopathology"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>The available evidence indicates that most non\u2010uterine high\u2010grade serous carcinomas (<jats:styled-content style=\"fixed-case\">HGSC<\/jats:styled-content>s) arise from the fallopian tube (<jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>), but approaches to primary site assignment have not evolved to reflect this. The aim of this study was to assess the application of recently proposed criteria for site assignment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>One hundred and fifty\u2010one <jats:styled-content style=\"fixed-case\">HGSC<\/jats:styled-content>s from four centres were reviewed retrospectively. Sixty\u2010three of 80 (79%) chemonaive (<jats:styled-content style=\"fixed-case\">CN<\/jats:styled-content>) and 45 of 71 (68%) post\u2010neoadjuvant chemotherapy (<jats:styled-content style=\"fixed-case\">NACT<\/jats:styled-content>) cases were assigned as <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> primaries with the new criteria, whereas 58 of 80 (73%) and 45 of 71 (63%) were assigned as ovarian primaries with traditional criteria (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). Of 111 prospectively collected <jats:styled-content style=\"fixed-case\">HGSC<\/jats:styled-content>s, with consistent detailed fimbrial examination, 44 of 53 (83%) <jats:styled-content style=\"fixed-case\">CN<\/jats:styled-content> and 44 of 58 (76%) <jats:styled-content style=\"fixed-case\">NACT<\/jats:styled-content> cases were assigned as <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> primaries. The reproducibility of site assignment was tested in a subset of 50 cases: all four reviewing pathologists agreed on the primary site in 48 of 50 (96%) cases, and three of four agreed in 49 of 50 (98%) cases. Of the 53 prospectively studied <jats:styled-content style=\"fixed-case\">CN<\/jats:styled-content> cases, bilateral ovarian involvement (62%) was significantly more frequent than bilateral tubal involvement (12%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001), further supporting a tubal origin and ovarian metastasis in most cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With currently accepted protocols, the proposed guidelines are easy to apply and result in consistent site assignment in non\u2010uterine <jats:styled-content style=\"fixed-case\">HGSC<\/jats:styled-content>s. Most cases of non\u2010uterine <jats:styled-content style=\"fixed-case\">HGSC<\/jats:styled-content> were considered to be primary <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> neoplasms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/his.12651","type":"journal-article","created":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T09:47:58Z","timestamp":1421228878000},"page":"331-337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Assessment of a new system for primary site assignment in high\u2010grade serous carcinoma of the fallopian tube, ovary, and peritoneum"],"prefix":"10.1111","volume":"67","author":[{"given":"Naveena","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cellular Pathology Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C Blake","family":"Gilks","sequence":"additional","affiliation":[{"name":"Department of Pathology Vancouver General Hospital and University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nafisa","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Histopathology St James's Hospital Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W Glenn","family":"McCluggage","sequence":"additional","affiliation":[{"name":"Department of Pathology Belfast Health and Social Care Trust Belfast 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