Fibrotic cyst wall showing partial coverage by non-mucigenic cuboidal cells. No evidence of epithelial piling up or stromal invasion. Wall of cyst and fallopian tube show marked interstitial hemorrhage (hemorrhagic infarct) and dilated congested blood vessels. Picture is consistent with strangulated simple serous cyst. No evidence of atypia or malignancy.
Cytology preparation is hemorrhagic and hypocellular showing scattered inflammatory cells with cell debris, negative for malignant cells.
Ruptured left ovarian cyst.
Two samples were received:
1- Left ovarian cystectomy: cyst wall measured 3.5x1.7x0.8 cm, totally embedded.
2- Cyst fluid: 3 ml bloody fluid, one smear was prepared and stained.
Lt. Ovarian cystectomy & cyst fluid, cytology: