Gynecological Pathology – 01

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1. A 48-year-old female is found to have a 1.5 cm ovarian mass lesion that is separate from another lesion for which an oophorectomy was being performed. The images for this case show that histology for the 1.5 cm mass lesion. Based on the findings, what is the diagnosis?

Gynecological Pathology - Part 1, Case #6
Gynecological Pathology - Part 1, Case #6


Gynecological Pathology - Part 1, Case #6
Gynecological Pathology - Part 1, Case #6


Gynecological Pathology - Part 1, Case #6
Gynecological Pathology - Part 1, Case #6
2. A 65-year-old female presents with an ovarian mass. An oophorectomy is performed, and representative images are shown for this case. Based on the histologic findings, what is the best diagnosis?

Gynecological Pathology - Part 1, Case #4
Gynecological Pathology - Part 1, Case #4


Gynecological Pathology - Part 1, Case #4


Gynecological Pathology - Part 1, Case #4
Gynecological Pathology - Part 1, Case #4


Gynecological Pathology - Part 1, Case #4
Gynecological Pathology - Part 1, Case #4
3. Brenner tumors associated with what type and frequency of a lesion?
4. A 65-year-old female was noted to have an endometrial mass. Represent sections of the biopsy are shown in the images for this case. At hysterectomy, the lesion was noted to be noninvasive, confined to the endometrium, and had 1 mitotic figure per 10 hpf. Based on these findings, which of the following is the best diagnosis?

Gynecological Pathology - Part 1, Case #1
Gynecological Pathology - Part 1, Case #1


Gynecological Pathology - Part 1, Case #1
Gynecological Pathology - Part 1, Case #1


Gynecological Pathology - Part 1, Case #1
Gynecological Pathology - Part 1, Case #1
5. A 55-year-old female presents with intermittent vaginal bleeding. A Pap smear was performed, and a representative image is shown. Clinically, the uterus is slightly enlarged, and the cervix is grossly unremarkable. Based on these findings, what is the most likely diagnosis?

Gynecological Pathology - Part 1, Case #3
Gynecological Pathology - Part 1, Case #3
6. A 40-year-old female presents with an ovarian mass. An oophorectomy is performed, and representative images are shown. Based on the findings, what is the best diagnosis?

Gynecological Pathology - Part 1, Case #5
Gynecological Pathology - Part 1, Case #5


Gynecological Pathology - Part 1, Case #5
Gynecological Pathology - Part 1, Case #5


Gynecological Pathology - Part 1, Case #5
Gynecological Pathology - Part 1, Case #5
7. An endometrial adenocarcinoma that invades two thirds of the depth of the myometrium would be classified as which of the following according to the AJCC cancer staging manual, sixth edition?
8. A female patient who is 32 years old presents with intermittent vaginal bleeding. An endometrial biopsy is performed, and representative images are shown for this case. Which of the following is the best diagnosis?

Gynecological Pathology - Part 1, Case #2
Gynecological Pathology - Part 1, Case #2


Gynecological Pathology - Part 1, Case #2
Gynecological Pathology - Part 1, Case #2


Gynecological Pathology - Part 1, Case #2
Gynecological Pathology - Part 1, Case #2
9. In a patient with choriocarcinoma, which of the following lab abnormalities do you expect to find elevated?
10. When staging a primary ovarian tumor, according to the AJCC staging manual, which of the following categories would represent tumor limited to the ovary but having positive peritoneal washings?