Left ovarian sections show a benign cystic ovarian tumor showing lining by a single layer of mucigenic columnar cells devoid of atypia. The lining assumes a focal papillary configuration. No evidence of stromal infiltration. Endometrium is non-secretory and hyperplastic, formed of branching glands exhibiting mild 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 superficial myometrium. Cervix show Napothian cyts with mild endocervicites and squamous metaplasia. Rt. ovary and Fallopian tubes are unremarkable. No evidence of atypia or malignancy.
Large complex solid cystic left ovarian mass.
Panhysterectomy specimen: the uterus measured 9.5 x 6 x 4.5 cm, and the cervix measured 3 cm in length. On sectioning, the myometrial wall thickness measured 2.3 cm, and the endometrium measured 0.4 cm in thickness. Left ovary measured 6.5x4x3.5 cm, showed multiple cystic areas, the largest of which measured 1.9 x 3 cm. The right ovaries measured 2 x 1.5 x 1 cm each, and the right and left fallopian tubes measured 5 cm, each, all of which appeared unremarkable grossly. Also received 2 ml bloody fluid, one smear was prepared and stained.
Panhysterectomy: