FEMALE GENITAL TRACT

II

Pyosalpinx. Operative surgicalspecimen. The Fallopian tube is markedlydilated and filled with thick pus. Note theattached ovary (arrow).

Pyosalpinx in a woman aged 30.Operative surgical specimen. The tube hasbecome folded and distorted, hence you cansee multiple cross sectional views through thetube.

Hydrosalpinx. The thick pus hasbeen absorbed and the dilated tube is filledwith clear fluid. Surgical specimen from awoman aged 40 who presented with lowerabdominal pani that was diagnosed asappendicitis.

Ruptured tubal ectopic pregnancyin a woman aged 36.

Ruptured tubal ectopic pregnancy,resulting in death from haemorrhage into theperitoneal cavity, in a woman aged 36. Note the decidual reaction in the endometrium (blue arrows), and the presence of a corpus luteum of pregnancy in the ovary (red arrow). The black arrow points to the ectopic pregnancy.

Endometriosis of the ovary in awoman aged 42 years. Presented with acuteright iliac fossa pain, and operation disclosed aleak from a ‘chocolate’ cyst (arrow). A small,thin walled simple follicle cyst is present at thebottom left of the surgical specimen.

Polycystic ovary removed at thetime of hysterectomy for menorrhagia inwoman aged 35. Similar changes in the otherovary. Microscopy showed the cyst walls tocomprise a layer of granulosa cells surrounded by luteinised theca interna. The changes are typical of polycystic ovary syndrome.

Serous cystadenoma of the ovary.An incidental autopsy finding in a womanaged 74.

This is also from a serous cystadenoma.The cells are simple cuboidal in type.

Mucinous cystadenoma of theovary in a woman aged 50

This is the wall of a benign mucinouscystadenoma. The arrow points to the singlelayer of columnar epithelial cells that containmucus and whose nuclei are basally placed

Ovarian cystadenofibroma.Operative surgical specimen. Note the cysticpart and the solid fibroma part.

Papillary mucinous cystadenomaof the ovary in a woman aged 38.

Mucinous cystadenocarcinoma ofthe ovary in a woman aged 72.

Notice the far more complex architectureof the glands compared with the appearance ofthe benign cysts, including how they areclosely applied to each other and have veryvaried shapes. This section comes from acystadenocarcinoma of the ovary.

This is a higher power view from thesame case, showing marked irregularity of thegland contours. Note the lack of basalorientation of the nuclei.

Teeth arising from the mamilla ofan ovarian dermoid cyst (red arrows).Operative surgical specimen. Note the attachedfallopian tube (blue arrow).

Acute haemorrhagic infarction of anovarian dermoid cyst due to torsion of itspedicle. Sebaceous secretions that filled itscavity have been washed out.

Dysgerminoma of the ovary.

Ovarian fibroma. Operativesurgical specimen. It has a white homogeneouscut surface. It is benign and composed offibroblasts.

Granulosa cell tumour of theovary. It looks like a fibroma grossly, but itoften has a yellowish colour. These tumoursare malignant and may secrete oestrogenGranulosa cell tumour of theovary. It looks like a fibroma grossly, but itoften has a yellowish colour. These tumoursare malignant and may secrete oestrogen

Metastatic mucus-secretingcolonic carcinoma in both ovaries of a womanaged 55. Secondary GE tract tumours areusually symmetrical and bilateral. They havebeen called Krukenberg tumours.