“…High-grade gliomas of the ovary are extremely rare neoplasms as well, with only seventeen reported cases in English literature. In presented cases, the biological behavior ranged from no recurrences after a long follow-up in a stage IA, surgically managed tumor ( den Boon et al, 1999 ) to need for aggressive chemotherapy in conventionally high stage or ruptured tumors ( Kim et al, 2018 ) . Ependymoma of the ovary can be identified by the presence of true-rosettes and expression of GFAP, and in the published cases had a good prognosis, even in the tumors with a high stage at presentation ( Garcia-Barriola et al, 2000 ) .…”