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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. Polypoid lesion and endometrium formed of non-secretory hyperplastic endometrium with branching glands exhibiting moderate cystic dilatation with focal crowdness. Glands are lined by 1-3 layers of cells. Stroma is compact with scattered thick-walled blood vessels. Islands of these endometrial glands and stroma are seen entrapped deep within myometrium. No evidence of complex pattern. Cervix shows Nabothian cysts. Both ovaries show corpora albicans. Both fallopian tubes are unremarkable.</p>
<p>Uterine mass and abnormal uterine bleeding.</p>
<p class="ql-align-justify">Panhysterectomy specimen; the uterus measured 14x11x8 cm with a myometrial thickness of 5 cm and an endometrial thickness of 0.5 cm, with an endometrial polypoid lesion measuring 1.5x1 cm. The uterine cavity was almost filled by an intramural fibroid mass measuring 13x8.5x7 cm, having a solid rubbery whitish cut section. The cervix is 2.5 cm long. Rt and Lt ovaries measured 2x1.5x1 cm and 2.5x1x1 cm, respectively; both were grossly unremarkable. Rt and Lt Fallopian tubes measured 5 cm, each and were grossly unremarkable</p>
<p><strong><em><u>Panhysterectomy:</u></em></strong></p><ul><li><strong>Leiomyoma.</strong></li><li><strong>Mild simple cystic endometrial hyperplasia, negative for atypia.</strong></li><li><strong>Deep adenomyosis.</strong></li><li><strong>Hyperplastic endometrial polyp.</strong></li><li><strong>Cervical Nabothian cysts.</strong></li><li><strong>Ovarian corpora albicans.</strong></li><li><strong>Unremarkable Fallopian tubes.</strong></li><li><strong>Negative for atypia or malignancy.</strong></li></ul>
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