Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting focal mild crowdness with complexity of pattern and lining by 2-3 layers of cells amid cellular stroma.No evidence of atypia or malignancy.Some of these hyperplastic endometrial glands are seen embedded within deep myometrium.Myometrial tumor is a benign adenomyoma formed of whorly bundles of mature smooth muscles separated by a fibrous stroma.These smooth muscle bundles are seen entrapping hyperplastic endometrium.No evidence of tumor necrosis.No evidence of atypia or malignancy.Cervix show mild endocervicitis. Left ovary show corpora albicans. Left fallopian tube unremarkable.
Huge uterine mass suspected on ultrasound to be an invasive mole, with a history of a vesicular mole 1.5 years ago.
Received was total abdominal hysterectomy with left salpingoopherectomy specimen consisting of uterus with cervix,left ovary,and left fallopian tube.The uterus measured 10×7.5×6cm.The cervix measured 3cm in length.On sectioning,the myometrium measured up to 3cm in thickness.The endometrium measured 0.5cm in thickness.Within the myometrium, there was a well-circumscribed,rubbery,gray-white whorled mass measuring 6×4cm,consistent with a fibroid.The left ovary measured 2.5×1.5 ×1cm, the left fallopian tube measured 5 cm in length, both were grossly unremarkable.
Total abdominal hysterectomy with left salpingo-oophorectomy: