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<p class="ql-align-justify">Endometrium is non-secretory and hyperplastic, it is formed of branching glands exhibiting focal moderate crowdness with complexity of pattern and lining by 2-3 layers of cells amid cellular stroma. Glandular epithelium exhibits focal mild dysplasia. However, no evidence malignancy. Some of these hyperplastic endometrial glands are seen embedded within superficial myometrium. 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. Two of these leiomyomas are seen entrapping benign endometrial glands and stroma with cystic dilatation consistent with adenomyomas. The separate fragment proved to be adenomyoma. Cervix show mild endocervicitis. Both ovaries show corpora albicans and cystic follicles. Fallopian tubes are unremarkable.</p>
<p>Menorrhagia, multiple uterine masses.</p>
<p class="ql-align-justify">Panhysterectomy specimen showing: uterus 11.5x8x6 cm with 3 cm thick wall showing multiple fibroid masses the largest measured 5x4.5x4 cm. Endometrial thickness is 0.5 cm. Cervix is 3 cm long. Rt and Lt ovaries measured 2x1x0.8 cm and 3x2.5x1 cm, respectively, grossly unremarkable. Rt and Lt Fallopian tubes are 5 cm and 5.5 cm, respectively, both are grossly unremarkable.</p><p class="ql-align-justify">Received separately in the same container soft tissue mass measured 6.5x5.5x5 cm, showing multiple cystic areas largest measuring 2.5x2 cm, filled with bloody fluid.</p>
<p><strong><em><u>Panhysterectomy:</u></em></strong></p><ul><li><strong>Moderate adenomatous (complex) endometrial hyperplasia with associated mild atypia. </strong></li><li><strong>Superficial adenomyosis. </strong></li><li><strong>Leiomyomas + adenomyomas. </strong></li><li><strong>Mild non specific endocervicitis. </strong></li><li><strong>Ovarian corpora albicans and cystic follicles. </strong></li><li><strong>Unremarkable Fallopian tubes.</strong></li></ul>
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