Case 191

Surgical Pathology Case
 

CLINICAL INFORMATION

  62-year-old G3P3 female complained of postmenopausal spotting for seven days. She was placed on Prempro with good response. An endometrial biopsy revealed proliferative endometrium. An ultrasound showed a thickened endometrium and a 7.0-cm fibroid. A hysterectomy was performed.

GROSS DESCRIPTION

 

The uterus measures 7.0 7.0 6.5 cm and weighs 207 grams. A 4.5 5.5 cm well demarcated intramural mass is present with a homogeneously pale-tan, soft fleshy cut surface that is free of necrosis or hemorrhage.

   
 
 

HE, 20

HE, 20

 
 

HE, 40

HE, 40

   
 

HE, 40

 
     
 

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

Photo: Zenggang Pan

Discussion: Zenggang Pan