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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 with complexity of pattern and lining by 2-3 layers of cells amid cellular stroma. Glandular epithelium exhibits focal mild dysplasia. However, no evidence malignancy. Some of these hyperplastic glands are seen embedded within deep myometrium. Myometrial tumors are benign leiomyomas formed of whorly bundles of mature smooth muscles and separated by a fibrous stroma. No evidence of malignancy. Cervix shows Nabothian cysts with moderate endocervicitis. Lt. ovary and fallopian tube are unremarkable. No evidence of malignancy.</p>
<p>Uterine fibroids.</p>
<p class="ql-align-justify">Total abdominal hysterectomy with unilateral (left) salpingo-oophorectomy and separate myomectomy specimen: The uterus measured 8.8 x 7 x 4.5 cm. On sectioning, the myometrium measured 2.3 cm showing multiple fibroid masses, the largest measuring 3 cm. Endometrium measured 0.7 cm in thickness. The cervix measured 2.8 cm in length. The left ovary measured 2.3 x 1.8 x 1 cm and the left fallopian tube measured 2.5 cm in length, both grossly unremarkable. Received separately are multiple additional fibroid masses, with the largest measuring 5 x 4 cm.</p>
<p><strong><em><u>Total abdominal hysterectomy with unilateral (left) salpingo-oophorectomy:</u></em></strong></p><ul><li><strong>Moderate adenomatous (complex) endometrial hyperplasia with associated focal mild atypia. </strong></li><li><strong>Deep adenomyosis</strong></li><li><strong>Leiomyomas</strong></li><li><strong>Cervical Nabothian cysts and moderate chronic non specific endocervicitis. </strong></li><li><strong>Unremarkable left ovary and fallopian tube. </strong></li><li><strong>Negative for atypia and malignancy.</strong></li></ul>
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