Intracavitary polyp and endometrium is non-secretory and hyperplastic, it is formed of mildly branching glands and lined by 1-2 layers of cells. No evidence of complex glandular pattern. Stroma is cellular. Islands of these endometrial glands and stroma are seen entrapped superficial within myometrium. Myometrial tumor is a benign leiomyoma formed of whorly bundles of mature smooth muscles separated by a fibrous stroma. Ovaries show cystic follicles and corpora albicans. Fallopian tubes and cervix are all unremarkable. No evidence of specific granulomas. No evidence of atypia or malignancy.
Abnormal uterine bleeding.
Panhysterectomy specimen; Uterus measured 7.5 x 5 x 4 cm with a 2.5 cm myometrium and 0.4 cm of endometrial thickening, containing a single fibroid mass measuring 0.7 cm and an intracavitary polyp measuring 2 x 1.3 cm. Cervix is 2.5 cm long. Right ovary measured 2.5 x 2 x 1 cm with multiple cysts, the largest measuring 0.5 cm. Left ovary measured 2.5 x 1.5 x 1 cm with three cysts, the largest measuring 0.5 cm. Right and left fallopian tubes each measured 5 cm in length.
Panhysterectomy: