Endometrium is non-secretory, it is formed of slightly branching lined by 1-2 layers of cells. Stroma is cellular. No evidence of complex glandular pattern. Islands of these endometrial glands and stroma are seen entrapped within superficial myometrium. Cervix shows mild chronic ectocervicitis. Lt ovary shows cystic follicles with corpora albicans and hemorrhagic corpus luteum. Lt fallopian tube shows areas of stromal fibrosis. No evidence of specific granulomas. No evidence of atypia or malignancy.
Menorrhagia due to diffuse adenomyosis. History of bilateral tubal ligation.
Uterus measures 9x7x4.5 cm with myometrial thickness of 2.3 cm showing and endometrial thickness of 0.5 cm. Cervix is 2.5 cm, long. The Rt. ovary and tube were not identified. The Lt. ovary rmeasured 3.5x2x1.5 cm, showing 5 unilocular cysts, the largest being 1.2 cm. The left fallopian tubes measured 5 cm.
Total abdominal hysterectomy with unilateral salpingo-oophorectomy: