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<p class="ql-align-justify">Sections from the left ovarian mass show a bengin tumor composed predominantly of variably sized thyroid follicles distended with eosinophilic colloid. The background stroma exhibits marked vascular congestion, massive interstitial hemorrhage, and coagulative necrosis, consistent with acute ischemic infarction secondary to torsion. The adjacent left fallopian tube shows marked vascular congestion. The right ovary shows unremarkable corpora albicans, and the associated right fallopian tube is histologically unremarkable. Uterine sections reveal simple endometrial hyperplasia without atypia, overlying a myometrium that contains superficial adenomyosis alongside a benign leiomyoma composed of bland, interlacing smooth muscle fascicles. The cervix features Nabothian cysts and mild endocervicitis.</p>
<p class="ql-align-justify">Two-week history of pelvic pain and a large, complex, fat-containing mass on the left ovary, highly suggestive of a dermoid cyst that may be complicated by torsion.</p>
<p class="ql-align-justify">Received is a panhysterectomy: uterus measured 7 x 5 x 2.5 cm, cervix measuring 2.5 cm in length. Sectioning revealed an endometrium measuring 0.4 cm in thickness and a uterine myometrium measuring 1.3 cm in thickness, which contains a small, fibroid mass measuring 0.5 x 0.4 cm. The left ovary is replaced by a large mass measuring 12 x 9.7 x 7.5 cm, The cut showed a firm, solid area measuring 5 x 4.5 x 3 cm with multiple cysts, the largest measuring 4.5 cm. Extensive hemorrhage is noted throughout the cut sections of the mass. Left fallopian tube measured 4 cm, long. The right ovary measured 2 x 1.5 x 1 cm, and the right fallopian tube measured 5 cm.</p>
<p><strong><em><u>Panhysterectomy</u></em></strong>:</p><ul><li><strong>Left Ovarian Struma Ovarii with torsion. </strong></li><li><strong>Moderate simple endometrial hyperplasia. </strong></li><li><strong>Superficial adenomyosis.</strong></li><li><strong>Leiomyoma.</strong></li><li><strong>Chronic non-specific endocervicitis with Nabothian cysts.</strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul>
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