Category Archives: Gynae Pathology

Endometrial Hyperplasia

Simple Hyperplasia Normal to slightly increased gland to stromal ratio Proliferative endometrium Cystically dilated glands of variabe sizes (diffuse compared to a few in disordered proliferative endometrium) Oval nuclei maintaining orientation to basement membrane *simple hyperplasia is due to unopposed/prolonged … Continue reading

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Ovarian Serous Tumours

Benign serous tumours (serous cystadenoma) – Unilocular thin walled cysts filled with clear fluid. Smooth inner surface or polypoid excrescences which are firm if fibrous or soft if oedematous. Lined by ciliated columnar epithelium similar to fallopian tube. Serous adenofibromas- … Continue reading

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Mature Cystic Teratomas (Dermoid Cysts)

Near full house of different tissues seen in dermoid cysts in the last week:

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Assessing Leiomyomas

Leiomyomas are very common and show a fascicular arrangement of smooth muscle bundles. However there are a number of variants, atypical features, degenerative changes and treatment associated changes worth looking out for. Cellular leiomyoma – Look much more blue, as … Continue reading

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Case Report 2: Struma Ovarii

Just an excuse to put up some cracking photographs of this case: Struma ovarii fall into the highly specialised mature cystic teratoma group. These are teratomas that consist predominantly or exclusively of one type of adult tissue and also include … Continue reading

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Dysfunctional ovarian cysts

Dysfunctional ovarian cysts are cysts derived from the follicular apparatus either before (follicular cysts) or after ovulation (corpus luteum cysts). Sex cord stromal cells include the granulosa and theca cells which nuture the oocyte. Granulosa cells under FSH secrete oestrogen … Continue reading

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Benign lesions of the Endocervix

Microglandular hyperplasia – Although the architecture may be appear complex there is little atypia compared to high grade CGIN. The stratified appearance is due to basal cell hyperplasia. Mucinous glands are present on the luminal surface. Differential diagnoses include clear … Continue reading

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