Case 155

Surgical Pathology Case
 

CLINICAL INFORMATION

  63-year-old female, incidentally found to have a complex left ovarian mass with elevated CA125 at a level of 125 and some ascites. Had vaginal hysterectomy and right salpingo-oophorectomy at the age of 35 years due to dysmenorrhea.

GROSS DESCRIPTION

 

The specimen consists of one resected mass measuring 6.0 5.0 3.0 cm with attached ovary measuring 2.0 1.5 1.0 cm. The outer surface of the mass is smooth, shiny and glistening. Serial sectioning through the specimen reveals well-demarcated mass with a white-pink solid cut surface and small foci of hemorrhage.

 
     
 
 

HE, 10

HE, 20

 
 

HE, 20

HE, 40

 
 

HE, 20

HE, 20

 
 

HE, 20

HE, 40

 
 

HE, 20

HE, 20

 
 

HE, 20

HE, 10

 
 

HE, 40

HE, 20

 
 

HE, 10

HE, 10

   
 

HE, 20

 

     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan