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<p class="ql-align-justify">Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting focal moderate crowdness and lined by 1-3 layers of cells. Glands show focal complexity of their contour. Stroma is cellular and showing thick wall blood vessels. Islands of these endometrial glands and stroma are seen entrapped deep within myometrium. Myometrial tumor is a benign leiomyoma formed of whorly bundles of mature smooth muscles and separated by a fibrous stroma. No evidence of malignancy. Cervix shows Nabothian cysts and moderate endocervicitis. No evidence of specific granulomas. No evidence of atypia or malignancy.</p>
<p>Abnormal uterine bleeding</p>
<p class="ql-align-justify">Total hysterectomy specimen: The uterus measured 7.5 x 5 x 4 cm. The cervix measured 2.5 cm in length. The uterine wall measured 2 cm in thickness, with endometrial thickness of 0.6 cm showing focal trabeculation. The myometrium showed fibroid mass measuring 1.7 x 1.5 cm.</p>
<p><strong><em><u>Total abdominal hysterectomy: </u></em></strong></p><ul><li><strong>Moderate adenomatous (complex) endometrial hyperplasia. </strong></li><li><strong>Deep adenomyosis.</strong></li><li><strong>Leiomyomas.</strong></li><li><strong>Cervical Nabothian cysts with moderate endocervicitis. </strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul>
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