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<p class="ql-align-justify">Myometrial tumors are 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 hyperplastic and non-secretory. It is formed of moderately branching glands separated by cellular stroma and lined by 1-2 layers of cells. Islands of these endometrial glands and stroma are seen entrapped deep within myometrium. No evidence of complex glandular pattern. Cervix shows Nabothian cysts and mild endocervicitis with squamous metaplasia. Lt. ovarian mass show a benign ovarian stromal tumor formed of irregular bundles of proliferating fibrocytes. Cellularity is mild to moderate. No evidence of anaplasia and mitosis is not active. Rt and Lt ovaries show corpora albicans and cystic follicles. Both fallopian tubes are unremarkable.</p>
<p>Uterine mass.</p>
<p class="ql-align-justify">Panhysterectomy specimen showing: uterus 13x9x6 cm with 3 cm thick wall showing one fibroid 3x3x2 cm. Endometrial thickness is 0.5 cm. Cervix is 4 cm long, showing cyst measured 1 cm.. Rt ovary measured 2x1.5 cm, grossly unremarkable. Lt ovary measured 4.5x3.5 cm, showing three unilocular cysts, largest is 2x2 cm, filled with bloody fluid, and showed solid firm area measuring 2.5x2.3x2 cm. Rt and Lt Fallopian tubes are 5 cm and 6 cm, respectively, both are grossly unremarkable.</p>
<p><strong><em><u>Panhysterectomy:</u></em></strong></p><ul><li><strong>Leiomyoma</strong></li><li><strong>Moderate simple endometrial hyperplasia.</strong></li><li><strong>Deep adenomyosis.</strong></li><li><strong>Cervical Nabothian cyst with mild endocervicitis and squamous metaplasia.</strong></li><li><strong>Lt. ovarian cystic follicles and fibroma.</strong></li><li><strong>Fallobian tubes are unremarkable.</strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul>
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