HISTOPATHOLOGY AND CYSTOLOGY REPORT
NAME : Mrs. Akhila Jagannathan Age : 52 yrs,
SPECIMEN : 1. Uterus, Right and Left Ovaries and both tubes
2. Omentum
3. Peritoneal fluid
GROSS: 1. Received a specimen of total hysterectomy with both ovaries and tubes. The uterus is 7x5x4 cms. Cervix is unremarkable. Endometrium is smooth. Myometrium is 2 cms and reveals an intramural 1.5 x 1.5 cms, well localized mass. The ovaries measure 2 x 1 x1 cms and each tube measures 1.55 cms in length.
2. Received 10 x8 x5 cms long segment of fibrofatty tissue.
3. Also received 5ml of blood stained peritoneal fluid.
MICROSCOPIC :
1. Sections reveal fragments from both ecto and endo cervix. Ecto cervix shows no dysplasia. Endo cervix shows foci of papillary endocervicitis, a few cystic glands and inflammatory cells. Multiple sections from the endometirum show complex glands, closely packed, enlarged and with foci of papillary infoldings and budding. The lining neoplastic cells show marked enlargement, nuclear pleomorphism, prominent nucleli and psedo stratification. Areas of necrocis seen. Myometrial invasion is not seen. Sections from the intramural mass shows features of leiomyoma, both the overies reveal corpora albicantia. The tubes do not reveal any abnormality.
2. Sections from the omentum reveal congested fibtofatty tissue. There are no tumour deposits.
3. Peritoneal aspirate is cellular. Numerous poorly preserved rbc’s and mesothelical cells seen. There are no abnormal cells.
DIAGNOSIS:
1. CERVIX – cronic cervicitis.
2. ENDOMETRIUM – Endometroid Adenocarcinoma – Grade I – FIGO Stage 1A
3. MYOMETRIUM – Leiomyoma
4. RIGHT AND LEFT OVARIES AND BOTH TUBES – No significant pathology
5. OEMTUM – Congestion
6. PEROTONEAL ASPIRATE – No significant Cytological abnormality seen.