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<p class="ql-align-justify">Myometrial tumor is benign leiomyomas formed of whorly bundles of mature smooth muscles separated by a fibrous stroma. Endometrium is non-secretory, it is </p><p class="ql-align-justify">formed of moderately branching glands lined by 1-2 layers of cells. Stroma is cellular. No evidence of complex glandular pattern. Some of the hyperplastic endometrium are seen embedded within superficial myometrium. Cervix show Nabothian cyst with squamous metaplasia. Lt tube shows paratubal cyst having a thin fibrotic wall and is lined by a single layer of tubal-type ciliated epithelium (hydatid cyst of Morgagni). No evidence of atypia or malignancy.</p><p class="ql-align-justify"><br></p>
<p>Abnormal vaginal bleeding.</p>
<p class="ql-align-justify">Received is a uterus measuring 10 x 7 x 5 cm with a 2.5 cm cervix. The myometrium measures up to 2.5 cm thick and contains a single grey fibroid mass measuring 1 x 1 cm. The endometrium measures 1 cm thick, revealing a grey area suspicious for a mass measuring 5 x 1 x 1.3 cm. Right and left fallopian tube stumps measure 5 cm and 6 cm, respectively, grossly unremarkable.</p>
<p><strong><em><u>Panhysterectomy</u></em></strong>:</p><ul><li><strong>Leiomyoma. </strong></li><li><strong>Moderate simple endometrial hyperplasia, negative for atypia</strong></li><li><strong>Superficial adenomyosis. </strong></li><li><strong>Cervical Napothian cyst with surface squamous metaplasia</strong></li><li><strong>Lt . Paratubal inclusion cyst of Morgagni. </strong></li><li><strong>Negative for atypia or malignancy. </strong></li></ul>
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