Low Grade Serous Ovarian Cancer (LGSOC) Insights and Trends
- LGSOC is a rare, indolent, relatively chemoresistant subtype (~5-10% of serous ovarian cancers) that is biologically distinct from high-grade disease and frequently characterized by RAS/MAPK pathway alterations.
- Epithelial tumors make up over 90% of malignant ovarian neoplasms, and HGSOC dominates the epithelial group (~70%). LGSOC accounts for only about 8% of serous cases, which is why the addressable pool is small and why estimates are sensitive to the histotype split used.
- Ovarian cancer incident cases in the 7MM were ~63,400 in 2025 and are projected to increase during the forecast period.
- In EU4 and the UK, the maximum number of cases in low grade ovarian cancer are from RAS/RAF/MAPK main pathway, followed by KRAS subtype.
Low Grade Serous Ovarian Cancer (LGSOC) Epidemiology Forecast in the 7MM
- 2025 Prevalent Cases of LGSOC: ~ 3,300
- 2036 Projected Prevalent Cases of LGSOC: ~ XXXX
- LGSOC Growth Rate (2026-2036): ~0.1% CAGR
DelveInsight's 'Low Grade Serous Ovarian Cancer (LGSOC) - Epidemiology Forecast - 2036' report delivers an in-depth understanding of the LGSOC, historical and forecasted epidemiology, in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
Low Grade Serous Ovarian Cancer (LGSOC) Understanding and Diagnosis Algorithm
Low Grade Serous Ovarian Cancer (LGSOC) Overview
LGSOC is a rare and distinct histologic subtype of epithelial ovarian cancer, accounting for a small proportion of ovarian malignancies and differing substantially from High Grade Serous Ovarian Cancer (HGSOC) in its biology, clinical behavior, and treatment response. LGSOC is characterized by relatively slow tumor growth but a persistent risk of recurrence and typically occurs in younger women than HGSOC. The disease is frequently associated with alterations in the RAS/MAPK signaling pathway, including KRAS, NRAS, and BRAF mutations. Despite its more indolent course, LGSOC is generally less responsive to conventional platinum-based chemotherapy, making cytoreductive surgery, endocrine therapy, and targeted approaches important components of disease management, particularly in recurrent or advanced disease.
Low Grade Serous Ovarian Cancer (LGSOC) Diagnosis
Diagnosis of LGSOC requires histopathologic confirmation following surgical resection or biopsy. Microscopically, tumors are characterized by uniform cells with relatively low-grade nuclear atypia, papillary or micropapillary architecture, and often psammoma bodies. Immunohistochemistry is used to support the diagnosis and distinguish LGSOC from other ovarian cancer subtypes, with markers such as PAX8, WT1, and estrogen receptor commonly evaluated. Molecular testing can further characterize the tumor, particularly for KRAS, NRAS, and BRAF/MAPK pathway alterations, and may increasingly guide treatment selection. Imaging modalities such as transvaginal ultrasound, CT, and MRI are used to assess the primary tumor, disease extent, and metastatic involvement, while CA-125 may be used as a supportive biomarker for disease monitoring but is not sufficiently specific for diagnosis.
Low Grade Serous Ovarian Cancer (LGSOC) Epidemiology
Key Findings from Low Grade Serous Ovarian Cancer (LGSOC) Epidemiological Analysis and Forecast
- The total number of incident cases of LGSOC in the 7MM were ~3,300 in 2025, which is expected to increase by 2036.
- In 2025, the highest number of incident cases of LGSOC was observed in the United States, with ~1,200 cases, followed by the UK, which accounted for 500 cases.
- The United States accounted for ~33% incident cases of ovarian cancer in 2025.
- The incident cases of ovarian cancer were highest in the United States followed by Japan, and lowest in Spain in 2025.
- In 2025, the total cases of LGSOC by type in Japan were highest in LGSOC Advanced-Stage (III-IV) (~80) followed by LGSOC Early Stage (I-II).
- RAS/RAF/MAPK/ main pathway accounted for the largest share (~50%) of biomarker-specific LGSOC incident cases in 2025 in United States followed by KRAS (~20%), and smallest share was accounted by BRCA1/2.
Scope of the Report:
- The report covers a segment of a descriptive overview of LGSOC, explaining their causes, signs and symptoms, and pathogenesis.
- Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression.
Report Insights
Low Grade Serous Ovarian Cancer (LGSOC) Patient Population Forecast
Report Key Strengths
- Epidemiology-based (Epi-based) Bottom-up Forecasting
- 11-year Forecast
- Patient Burden Trends (by Geography)
FAQs:
- What are the disease risks, burdens, and unmet needs of LGSOC? What will be the growth opportunities across the 7MM concerning the patient population with LGSOC?
- What is the historical and forecasted LGSOC patient pool in the US, EU4 (Germany, France, Italy, and Spain), the UK, and Japan?
Reasons to Buy:
- Insights on patient burden/disease prevalence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
- To understand key opinion leaders' perspectives around the diagnostic challenges to overcome barriers in the future.
- Detailed insights on various factors hampering disease diagnosis and other existing diagnostic challenges.