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<p class="ql-align-justify">Myometrial tumor is benign leiomyoma formed of whorly bundles of mature smooth muscles separated by a fibrous stroma. Sections show focal increased cellularity with mitotic count 2/10 HPF, however no evidence of atypia or tumor necrosis. No evidence of malignancy. Endometrium, cervix and fallopian tubes are unremarkable. Both ovaries show cystic follicles.</p>
<p>Abnormal uterine bleeding with uterine mass.</p>
<p class="ql-align-justify">Panhysterectomy specimen; uterus measures 19x23x12 cm with myometrial thickness of 7 cm showing and endometrial thickness of 0.7 cm, almost filled with submucosal well defined mass measured 20x13x10.5 cm, having solid rubbery tan cut section. Cervix is 4 cm, long. <span style="color: rgb(34, 34, 34);">The right ovary measured 3.5x1.5 cm and contains 3 unilocular cystx the largest measured 1.5 cm in greatest dimension. The left ovary measured 2.2× 1.5 cm showing 3 unilocular cysts the largest measured 0.8 cm in greatest dimension. The right and left fallopian tubes measured 5.5 cm and 6 cm in length, respectively, and are grossly unremarkable</span></p>
<p><strong><em><u>Panhysterectomy for uterine mass:</u></em></strong></p><ul><li><strong>Cellular leiomyoma.</strong></li><li><strong>Negative for malignancy.</strong></li><li><strong>Recommended for follow-up.</strong></li></ul><p><br></p><p><strong>COMMENT</strong>:</p><h5 class="ql-align-justify">The majority of these tumors will behave in a benign fashion. However, some will show a more aggressive behavior; hence, a long-term follow-up policy is advised.</h5>
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