Rt ovary shows fibrotic cyst wall showing lining by a single layer of non-mucigenic cells. Cyst wall is fibrotic with some flat projections into lumen of cyst. Lt ovary shows copora albicans and cystic follicles. Endometrium is hyperplastic and non-secretory. It is formed of branching glands exhibiting mild cystic dilatation with focal crowdness. Glands are lined by 1-3 layers of cells. Stroma is compact. No evidence of complex glandular pattern. Cervix shows Nabothian cysts with mild endocervicites. . No evidence of atypia or malignancy.
Rt. ovarian cyst.
Panhysterectomy specimen; uterus measures 7x5x3.5 cm with myometrial thickness of 1.7 cm and endometrial thickness of 0.4 cm. Cervix is 2 cm, long. The right ovary measured 4.5X3X2.5 cm; the cut section was almost replaced by a cyst filled with thick material. The left ovary measured 2x1.5x1 cm, grossly unremarkable. The right and left Fallopian tubes are 5.5 cm and 6 cm, respectively; both are grossly unremarkable.
Panhysterectomy: