Category Archives: Gynecology

A Cause and Effect

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This patient underwent total abdominal hysterectomy and bilateral oopherectomy  due to endometrial complex hyperplasia with atypia, the left ovary showed a  mass ” couldn’t resist the temptation of taking a smear for fast pap stain” which showed this spindle tumor with fasicular arrangement. the tumor later proved to be a fibrothecoma quit known to screte lots of estrogen that may lead to hyperplastic endometrium. strangly the cells on smears showed many grooves as on sections a feature seen in estrogen secreting  granulosa cell tumor.

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Ovarian SeroMucinous Cyst

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Ovarian cyst form 40 years old lady. it was 18 C.M in diameter, unilocular and filled with serous fluid.

on Aspirate you can see :

– Simple columnar epithelium ( the red spindly cells ” lets say pseudo-spindly always remember this is not a cross section “).

– the dispersed round cells in between on might think  they may represent the intercalated cells and then the diagnosis will be serous cyst But at high magnification you will see that they are full of foamy mucin with pushed nucleus typical of goblet cells.

– the foamy macrophages   ” last pic ” indicating the cystic nature of this aspirate

so we have 2 components the serous and mucinous and the proper diagnosis will be seromucinous cyst

please note that we can’t commet on the malignancy of such neoplasm unless we have H & E sections to asses invasion

Unexpected Vistor

 

 

 

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Dilation and curettage specimen , you can see the bizarre looking nuclei and how they stain positively for  BetaHCG immunostain that prove their trophoblastic origin and so the diagnosis is Placental Site Nodule, this patient has remote pregnancy history.

 

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