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<p class="ql-align-justify">Myometrial tumor is a benign leiomyoma formed of whorly bundles of mature smooth muscles separated by a fibrous stroma. No evidence of tumor necrosis. No evidence of atypia or malignancy. 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 napothian cyts and mild chronic ectocervicitis. Lt ovary shows corpus luteum cyst and cystic follicles. Both tubes are unremarkable. No evidence of specific granulomas. No evidence of atypia or malignancy.</p>
<p>Chronic pelvic pain and dysparonia.</p>
<p class="ql-align-justify">Panhysterectomy specimen: the uterus measured 8.5x7.5x5 cm with a myometrial thickness of 2.5 cm and an endometrial thickness of 0.7 cm, showing intramural fibroid mass measuring 5.5x5x4.5 cm, having a solid, rubbery, whitish cut section. Cervix is 2.5 cm long. <span style="color: rgb(34, 34, 34);">The left ovary measured 3.5x2.5 cm, showing three unilocular cysts largest is 1.5 cm. Both fallopian tubes measured 5 cm in length, and are grossly unremarkable</span></p>
<p><strong><em><u>Total abdominal hysterectomy with unilateral salpingo-oophorectomy :</u></em></strong></p><ul><li><strong>Leiomyoma</strong></li><li><strong>Moderate simple endometrial hyperplasia.</strong></li><li><strong>Superficial adenomyosis.</strong></li><li><strong>Cervical Nabothian cyts and mild endocervicitis </strong></li><li><strong>Lt. Ovarian corpus luteum cyst and cystic follicles .</strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul>
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