Case 1

submitted by:
Lora H. Ellenson
Weill Medical College-Cornell University
New York, New York

Clinical Summary:

Two 70 year old women with postmenopausal bleeding followed by clinical procedures, the specimens from which are represented by cases A and B.

Case 1 - Figure 1(A)

Case 1 - Figure 2(A)

Case 1 - Figure 3(B)

Case 1 - Figure 4(B)

Case 2

submitted by:
W. Glenn McCluggage
Royal Group of Hospitals Trust
Belfast, Northern Ireland

Clinical Summary:

A 61 year old postmenopausal woman, para 0, presented with irregular vaginal bleeding. She had been taking continous combined hormone replacement therapy for six years. Hysteroscopy and endometrial biopsy was performed. At hysteroscopy a polypoid endometrial lesion was seen. She then underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy.

Case 2 - Figure 1

Case 2 - Figure 2

Case 2 - Figure 3

Case 2 - Figure 4

Case 3

submitted by:
Anais Malpica
M.D. Anderson Cancer Center
Houston, Texas

Clinical Summary:

A 22 year old female presented with ascites. Laparoscopic examination revealed a pelvic mass involving the cecum. Diffuse peritoneal studding was also noted. A biopsy was obtained.

Case 3 - Figure 1

Case 3 - Figure 2

Case 3 - Figure 3

Case 3 - Figure 4

Case 4

submitted by:
Esther Oliva
Massachusetts General Hospital
Boston, Massachusetts

Clinical Summary:

A 68 year old woman, status post-hysterectomy, was found to have a pelvic mass. Bilateral oophorectomy revealed the right ovary to be replaced by a 13 x 13 x 8 cm multilobulated mass that was solid, yellow-tan and homogeneous. The contralateral ovary was unremarkable.

Case 4 - Figure 1

Case 4 - Figure 2

Case 4 - Figure 3

Case 4 - Figure 4

Case 5

submitted by:
Charles J. Zaloudek
University of California
San Francisco, California

Clinical Summary:

A 46 year old woman had an abnormal Pap smear. A cervical biopsy revealed adenocarcinoma in situ. A cone biopsy, from which this slide was prepared, was performed.

Case 5 - Figure 1

Case 5 - Figure 2

Case 5 - Figure 3

Case 5 - Figure 4