Polyp and endometrium are non-secretory and hyperplastic, formed of branching complex glands exhibiting focal crowdness and lined by 1-3 layers of cells. Stroma is cellular. Some of these hyperplastic endometrial glands are seen embedded within deep myometrium. Cervix show Nabothian cysts, moderate endocervicitis and squamous metaplasia. Lt. ovary shows corpora albicans. Fallopian tubes are unremarkable. No evidence of atypia or malignancy.
Postmenopausal bleeding.
Total hysterectomy with Lt salpinoopherectomy: specimen; Uterus 8.5 x 5.5 x 3 cm with endometrial thickness of 0.4 cm, showing polyp 1.5 x 1 cm, and 1.5 cm myometrial wall showing diffuse trabeculation. Cervix is 2 cm long. Lt ovary measured 2 x 1.5 X 1 cm, right and left fallopian tube are 5 cm, each, all are grossly unremarkable.
Total hysterectomy with Lt salpinoopherectomy: