Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting focal moderate crowdness with complexity of pattern and lining by 2-3 layers of cells amid cellular stroma. No evidence of atypia or malignancy. Some of these hyperplastic glands are seen embedded within superficial myometrium. Rubbery area revealed myometrial tumor, 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 with mild endocervicitis. Lt. ovary shows cystic follicles. Lt. fallopian tube is unremarkable. No evidence of malignancy.
Abnormal uterine bleeding.
Total abdominal hysterectomy with unilateral (right) salpingo-oophorectomy specimen: The uterus measured 7.5 x 6 x 4.5 cm. On sectioning, the myometrium measured 2.3 cm in thickness, showing solid rubbery area ???fibroid measuring 1 x 0.8 cm. The endometrium measured 0.5 cm in thickness. The cervix measured 2.8 cm in length. Right ovary and fallopian tube measured 2x1.5x1 cm and 5 cm, respectively.
Total abdominal hysterectomy with unilateral (right) salpingo-oophorectomy: