DZI20-194: OLI GYN
From MGH Learn Pathology
Request details
- Request type Study
- Subspecialty Gynecologic
- Set Frozen Conference
- Topic OLI GYN
- Presenter Oliva, Esther,MD
Toggle columns: Diagnosis
| Case | Clinical history | Requester | Diagnosis |
|---|---|---|---|
| Case | Clinical history | Requester | Diagnosis |
|
| 82 yo with 3.5 cm grey-white fibrotic mass extending from outer surface of ovary | Mjf79 | benign spindle cell proliferation c/w fibroma Permanent: Fibroma |
|
| 60 yo F with a 7.5 cm lobulated • solid and cystic adnexal mass. Cystic component contains papillary excrescences | Mjf79 | High-grade serous carcinoma Permanent: High-grade serous carcinoma |
|
| 53 yo F with a 8.8 cm smooth walled unilocular cyst with no excrescences and filled with tenacious fluid | Mjf79 | mucinous cystadenoma |
|
| 40 yo F with 4.6 cm cystic mass. Outersurface grey-pink with shaggy cautery. Unilocular cyst filled with dark red-brown thick fluid | Mjf79 | endometriotic cyst |
|
| 41 yo F with adnexal mass. Gross: aggregate of polypoid soft tissue | Mjf79 | High-grade serous carcinoma with TCC like morphology Permanent: High-grade serous carcinoma with TCC like morphology (patient had BRCA mutation) |
|
| 53 yo F 9.3 cm disrupted adnexal cystic mass. Smooth • thin wall • unilocular • focal excrescences • straw colored fluid | Mjf79 | serous cystadenoma Permanent: serous papillary cystadenoma |
|
| 46 yo F with a 12.9 cm solid and cystic mass | Mjf79 | High-Grade carcinoma - ?clear cell Permanent: Clear cell carcinoma |
|
| 26 yo F with 13 cm ovarian mass. Cyst contents pasty yellow with hair. Cyst lining smooth. | Mjf79 | mature cystic teratoma |
|
| 4 yo F with 15 cm adnexal mass • encapsulated rubbery mass. Friable • fleshy cut surfaces solid and gray | Mjf79 | immature teratoma |
|
| 43 yo F 3.5 cm cystic ovary. Cyst has smooth lining • no excresences | Mjf79 | benign functional cyst Permanent: Corpus luteum cyst |
|
| 63 yo F 18.5 cm white-purple adnexal mass with predominantly smooth surface with focal adhesions. Sectioning reveals cystic to solid and necrotic cut surfaces. Filled with tenacious fluid. | Mjf79 | mucinous cystadenocarcinoma Permanent: mucinous cystadenocarcinoma grade 1 arising in association with borderline tumor • expansile invasion • intestinal type |
|
| 63 yo with a 1.9 cm yellow • gritty firm and ill-defined adnexal lesion | Mjf79 | Brenner tumor |
|
| 71 yo F with a 14 cm multiloculated mass filled with tenacious fluid. Lining shows multiple solid nodular areas. | Mjf79 | favor mucinous borderline tumor Permanent: Mucinous borderline tumor |
|
| 67 yo F with a 16.5 cm solid and cystic mass (solid area - lobulated with fibrous bands) | Mjf79 | endometrioid adenocarcinoma Permanent: adenometrioid adenocarcinoma grade 2/3 arising out of adenofibroma |
|
| 68 yo F 11.8 cm tan-yellow solid mass with areas of hemorrhage and necrosis | Mjf79 | poorly diff • favor carcinosarcoma permanent: carcinosarcoma |
|
| 49 yo F 16.5 cm solid tan-white mass with prominent nodularity. Sections: solid • multilobulated TW with fibrous bands and multifocal areas of softening and cystic change | Mjf79 | Favor stromal tumor ?granulosa cell tumor Permanent: Adult Granulosa Cell Tumor |
|
| 83 yo F with a 5.4 cm cystic mass with multiple tan-white firm thickened areas with associated papillary excrescences. | Mjf79 | serous cystadenofibroma |
|
| 41 yo F with a 15.5 cm cystic mass. Multiloculated cystic mass with a 9.5 cm area of friable papillary excresences with an adjacent indurated nodularity measuring 9 cm | Mjf79 | serous borderline |
|
| 61 yo F with a 3.1 cm polypoid endometrial mass | Mjf79 | adenocarcinoma grade 2 • invasive with involvement of adenomyosis • probably <50% Permanent: endometrial endometrioid adenocarcinoma grade 2/3 • invasive of inner half 0.8mm in 18mm) |
|
| 71 yo F with a 7.2 cm tan-white friable fungating endometrial mass | Mjf79 | endometrial adenocarcinoma invasive to outer half Permanent: endometrial adenocarcinoma grade 1 • invasive into outer half (28mm in 35mm) |
|
| 67 yo F with a 5.1 cm tan-white fungating endometrial mass and a 13 cm tan-white solid-cystic adnexal mass. | Mjf79 | FX1) uterus: adenocarcinoma • close to 50% • 2) Fibroma
Permanent 1: endometrioid adenocarcinoma grade 2 • invasive 8mm in 24 mm • conspicuous adenomyosis involvement Permanent 2: Fibroma with cystic degeneration |
|
| 58 yo F with a 3.3 cm exophytic endometrial mass | Mjf79 | endometrial adenocarcinoma with sq diff • >50% Permanent: Endometrioid adenocarcinoma grade 1 • invasive into outer half with extensive MELF (18 into 24) |
|
| 55 yo F with a 2.2 cm friable endometrial mass | Mjf79 | endometrioid endometrial adenocarcinoma grade 1-2 • no definitive invasion Permanent: endometrial endometrioid adenocarcinoma grade 2/3 • confined to endometrium |
