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Jars-Magdy.ppt

The document describes several post-operative uterine specimens removed via total abdominal hysterectomy and bilateral salpingo-oophorectomy or other procedures. Many of the specimens show abnormalities such as thickened endometrium suggestive of endometrial carcinoma, huge cervical myoma, anterior wall corporeal myoma, submucous fibroid, large posterior wall myoma, myometrial hyperplasia, multiple myomata resulting in asymmetric enlargement, thickened myometrial hyperplasia suggestive of adenomyosis, areas of echymosis and necrosis suggestive of atonic postpartum hemorrhage, and a cauliflower mass projecting from the ectocervix suggestive of cancer cervix.

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• post operative specimen of a uterus with both adnexa removed by (T.A.H & B.S.O) the uterus is bisected anteriorly showing diffusely thickened endometrium a picture suggestive of endometrial carcinoma.
• post operative specimen of a uterus with left adnexa removed by (T.A.H & LT S.O); the specimen shows huge cervical myoma giving a picture of monkey on a rock.
• post operative specimen of a uterus with left adnexa removed by (T.A.H & LT S.O) The specimen is opened anteriorly showing anterior wall corporeal myoma.
• post operative specimen of a uterus with both adnexa removed by (T.A.H & B.S.O); the specimen is bisected anteriorly showing sub mucous fibroid. The left ovary is enlarged showing corpus luteum cyst.
• post operative specimen of a uterus with both adnexa removed by (T.A.H & B.S.O); the specimen shows large posterior wall (low corporeal) myoma.
• Post operative specimen of a uterus removed by (T.A.H) with preservation of both ovaries
• Post operative specimen of a uterus removed by (T.A.H & B.S.O) .Uterus is slightly enlarged.
• Post operative specimen of uterus with both adnexa removed by (T.A.H & B.S.O); the specimen is bisected anteriorly showing huge sub mucous fibroid. The left ovary is enlarged showing cystic change.
• Post operative specimen of a uterus removed by (S.T.A.H) with preservation of both ovaries; the specimen is bisected anteriorly & the myometrium shows myometrial hyperplasia.
• Post operative specimen of a uterus with both adnexa removed by (T.A.H & B.S.O). • The specimen shows multiple variable sized myomata of different locations (submucous, subserous and even broad ligamentary) resulting in Asymmetrical enlargement of uterus.
• post operative specimen of a uterus with left adnexa removed by (T.A.H & LT S.O).It is slightly bulky& symmetrically enlarged. • Its anterior wall is opened to show thickened myometrial hyperplasia a Picture suggestive of Adenomyosis.
• post operative specimen of postpartum uterus measuring about 20 cm length removed by (S.T.A.H) with preservation of both ovaries. • The outer surface shows areas of echymosis and necrosis a picture suggestive of Atonic post partum Hge.
• post operative specimen of a uterus with left adnexa removed by radical abdominal hysterectomy with preservation of one ovary (T.A.H+LEFTS.O) showing cauliflower mass projecting from the ectocervix; a picture suggestive of cancer cervix.