Lora H. Ellenson
Weill Medical College-Cornell University
New York, New York
Two 70 year old women with postmenopausal bleeding followed by clinical procedures, the specimens from
which are represented by cases A and B.
W. Glenn McCluggage
Royal Group of Hospitals Trust
Belfast, Northern Ireland
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.
M.D. Anderson Cancer Center
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.
Massachusetts General Hospital
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.
Charles J. Zaloudek
University of California
San Francisco, California
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.