FEMALE GENITAL TRACT II

Pyosalpinx. Operative surgical specimen Pyosalpinx. Operative surgical specimen. The Fallopian tube is markedly dilated and filled with thick pus. Note the attached ovary (arrow).

Pyosalpinx in a woman aged 30. Operative surgical specimen Pyosalpinx in a woman aged 30. Operative surgical specimen. The tube has become folded and distorted, hence you can see multiple cross sectional views through the tube.

Hydrosalpinx. The thick pus has been absorbed and the dilated tube is filled with clear fluid. Surgical specimen from a woman aged 40 who presented with lower abdominal pani that was diagnosed as appendicitis.

Ruptured tubal ectopic pregnancy in a woman aged 36.

Ruptured tubal ectopic pregnancy, resulting in death from haemorrhage into the peritoneal 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 a woman aged 42 years Endometriosis of the ovary in a woman aged 42 years. Presented with acute right iliac fossa pain, and operation disclosed a leak from a ‘chocolate’ cyst (arrow). A small, thin walled simple follicle cyst is present at the bottom left of the surgical specimen.

Polycystic ovary removed at the time of hysterectomy for menorrhagia in woman aged 35. Similar changes in the other ovary. Microscopy showed the cyst walls to comprise a layer of granulosa cells surrounded by luteinised theca interna. The changes are typical of polycystic ovary syndrome.

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

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

Mucinous cystadenoma of the ovary in a woman aged 50

This is the wall of a benign mucinous cystadenoma This is the wall of a benign mucinous cystadenoma. The arrow points to the single layer of columnar epithelial cells that contain mucus and whose nuclei are basally placed

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

Papillary mucinous cystadenoma of the ovary in a woman aged 38.

Mucinous cystadenocarcinoma of the ovary in a woman aged 72.

Notice the far more complex architecture of the glands compared with the appearance of the benign cysts, including how they are closely applied to each other and have very varied shapes. This section comes from a cystadenocarcinoma of the ovary.

This is a higher power view from the same case, showing marked irregularity of the gland contours. Note the lack of basal orientation of the nuclei.

Teeth arising from the mamilla of an ovarian dermoid cyst (red arrows) Teeth arising from the mamilla of an ovarian dermoid cyst (red arrows). Operative surgical specimen. Note the attached fallopian tube (blue arrow).

Acute haemorrhagic infarction of an ovarian dermoid cyst due to torsion of its pedicle. Sebaceous secretions that filled its cavity have been washed out.

Dysgerminoma of the ovary.

Ovarian fibroma. Operative surgical specimen Ovarian fibroma. Operative surgical specimen. It has a white homogeneous cut surface. It is benign and composed of fibroblasts.

Granulosa cell tumour of the ovary Granulosa cell tumour of the ovary. It looks like a fibroma grossly, but it often has a yellowish colour. These tumours are malignant and may secrete oestrogenGranulosa cell tumour of the are malignant and may secrete oestrogen

Metastatic mucus-secreting colonic carcinoma in both ovaries of a woman aged 55. Secondary GE tract tumours are usually symmetrical and bilateral. They have been called Krukenberg tumours.