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<p><strong>Left Ovary and Fallopian Tube:</strong></p><ul><li><strong>High-Grade Serous Carcinoma.</strong></li><li><strong>Tumor Size:</strong> Largest solid mass measures 3.3 cm.</li><li><strong>Ovarian Capsule:</strong> Intact; negative for surface involvement or infiltration.</li><li><strong>Lymphovascular Invasion (LVI):</strong> Not identified.</li><li><strong>Fallopian Tube:</strong> Negative for malignancy.</li></ul><p><strong>Right Ovary and Fallopian Tube:</strong></p><ul><li><strong>Negative for malignancy.</strong></li><li><strong>Right Ovary:</strong> Corpora albicans.</li><li><strong>Right Fallopian Tube:</strong> No significant histopathologic changes.</li></ul><p><strong>Uterus (Corpus and Cervix):</strong></p><ul><li><strong>Endometrium:</strong> Simple endometrial hyperplasia (moderate), non-atypical.</li><li><strong>Myometrium:</strong> Intramural leiomyoma and superficial adenomyosis.</li><li><strong>Cervix:</strong> Chronic endocervicitis with Nabothian cysts and squamous metaplasia; negative for dysplasia or malignancy.</li></ul><p><strong>Omentum:</strong></p><ul><li><strong>Negative for malignancy.</strong></li></ul><h3><strong>Pathologic Staging (FIGO / AJCC)</strong></h3><ul><li><strong>Primary Tumor (pT):</strong> pT1a (Tumor limited to one ovary, capsule intact, no tumor on surface).</li><li><strong>Regional Lymph Nodes (pN):</strong> pNX (Regional lymph nodes not assessed).</li><li><strong>Distant Metastasis (pM):</strong> pMx.</li><li><strong>FIGO Stage:</strong> <strong>IA</strong></li></ul><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><strong><span class="ql-cursor"></span></strong></p>
<p class="ql-align-justify">Large mixed-cystic left ovarian mass and a bulky uterus.</p>
<p class="ql-align-justify">Received is a panhysterectomy specimen consisting of a 9.5 x 7.5 x 5 cm uterus with a 3 cm cervix, bilateral ovaries and fallopian tubes, and a separately submitted 42 x 15 x 1.5 cm unremarkable fatty omentum. Sectioning the uterus revealed a 0.5 cm thick endometrium and a 2.5 cm thick myometrium containing a single 2.5 x 2.5 x 2 cm fibroid. The right fallopian tube measured 5 cm long and the right ovary measured 3.5 x 2 x 1 cm. The left fallopian tube measured 6 cm, the left ovary is markedly enlarged to 17 x 14 x 9.5 cm with a smooth outer surface. Cut section of the left ovary revealed an 11 cm cystic space filled with gelatinous material with multiple solid grey masses, the largest measuring 3.3 x 2.8 x 2.5 cm.</p>
<p><strong><em><u>Panhysterectomy with omentectomy:</u></em></strong></p><ul><li><strong>High-Grade Serous Carcinoma of the Left Ovary, FIGO Stage IA</strong></li></ul>
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