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<p class="ql-align-justify">Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting moderate cystic dilatation with lining by 1-3 layers of cells amid cellular stroma. No evidence of complex pattern, atypia or malignancy. Some of these hyperplastic endometrial glands are seen embedded within deep myometrium (the sampled rubbery area).Myometrial tumors are benign leiomyomas formed of whorly bundles of mature smooth muscles separated by a fibrous stroma. No evidence of malignancy. Cervix show Napothian cyts with mild endocervicites. Ovaries and Fallopian tubes are unremarkable. No evidence of atypia or malignancy.</p>
<p class="ql-align-justify">The patient presented with complaints of heavy menstruation and was found to have a bulky uterus containing five fibroid masses.</p>
<p class="ql-align-justify">Panhysterectomy specimen:The uterus measured 11x 7.5x 6cm, and the cervix measured3cm in length.On sectioning, the myometrial wall thickness measured 3cm and the endometrium measured 0.8cm in thickness.The myometrium showed five fibroid masses,the largest measuring 1.3x1cm.A rubbery myometrial area measured 3.5x1cm wa sampled.The RT and LT ovaries measured 2x1.5x1cm and2.2x1.5x1cm respectively.The RT and LT fallopian tubes measured 5.5 cm and 5 cm in length,respectively.</p>
<p><strong><em><u>Panhysterectomy:</u></em></strong></p><ul><li><strong>Moderate simple cystic endometrial hyperplasia without atypia. </strong></li><li><strong>Deep adenomyosis. </strong></li><li><strong>Leiomyomas</strong></li><li><strong>Cervical Nabothian cysts with mild endocervicitis. </strong></li><li><strong>Unremarkable ovaries and fallopian tubes. </strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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