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<p class="ql-align-justify">Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting moderate crowdness and lined by 1-3 layers of cells. Glands show focal complexity of their contour. Stroma is cellular. No evidence of atypia or malignancy. Some of these hyperplastic glands are seen embedded within superficial myometrium. Cervix shows napothian cyst with mild endocervicitis. Sections from separate right ovary shows cyst wall lined by several layers of polygonal luteinized cells with interstitial hemorrhage into wall. Lt. ovary shows corpora albicans. Fallopian tubes are unremarkable. No evidence of malignancy.</p><p class="ql-align-justify">No evidence of atypia or malignancy.</p><p class="ql-align-justify">Omentum is free of tumors. </p>
<p class="ql-align-justify">The patient underwent a laparotomy that revealed fibrous adhesions and a gush of pus, prompting a hysterectomy and omental sampling for histopathological evaluation due to suspected tuberculosis or malignancy.</p>
<p>Two specimens were received:</p><p class="ql-align-justify">1- Panhysterectomy: uterus measuring 9.5 x 7.5 x 4.5 cm, with a cervix measuring 3 cm. Sectioning revealed a uterine wall measuring 2.3 cm in thickness and an endometrium measuring 0.5 cm in thickness. The right ovary is measured 11 x 7.5 x 4 cm, and is almost entirely replaced by a 9.5 cm cyst. Left ovary measured 2.5 x 2 x 1.3, unremarkable grossly. Right and left fallopian tubes measured 5.5 cm and 5 cm, respectively. Additionally, there are two separate, open cysts received measuring 4 x 3.5 x 1 cm.</p><p class="ql-align-justify">2- Omental sampling: fatty tissue measured 5.5x5x1.5 cm.</p>
<p><strong><em><u>Total hysterectomy:</u></em></strong></p><ul><li><strong>Moderate adenomatous (complex) endometrial hyperplasia. </strong></li><li><strong>Superficial adenomysis. </strong></li><li><strong>Leiomyoma. </strong></li><li><strong>Napothian cysts with mild endocervicitis. </strong></li><li><strong>Rt ovary hemorrhagic cystic corpus luteum. </strong></li><li><strong>Omentum free of tumor. </strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul>
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