CHARLES V. BISCOTTI
Cleveland Clinic Foundation
A 51-year-old presented for resection of a hepatic endometrioma diagnosed by tissue biopsy three years
prior. At that time, she had a significant response to leuprolide acetate: however, the mass
recurred approximately 2.5 years after discontinuing monthly injections. Repeat tissue biopsy was
again interpreted as endometriosis. This time, the patient had a poor response to leuprolide acetate.
A 10x12x1.5 cm mass was excised.
KATHLEEN R. CHO
University of Michigan Medical School
Ann Arbor, MI
A 16 year-old girl presented with non-specific abdominal pain and a two week history of flu-like
symptoms. A CAT scan demonstrated a large left ovarian mass with solid and cystic components.
Exploratory laparotomy revealed a 25 cm ovarian tumor focally adherent to the omentum, but without
obvious rupture. Multiple small white nodules on the peritoneal surface of the right hemi-diaphragm
and cul de sac were also observed. A left salpingo-oophorectomy, omentectomy, and biopsies of the
right ovary and peritoneal nodules were performed.
KENNETH R. LEE
Brigham and Women's Hospital and Harvard Medical School
A 33 year-old woman described a sensation of "falling out." She was found to have 4 or 5 discrete
vaginal polyps, each 1 to 2 cm, in the area of the hymenal ring. One of these was biopsied.
NILSA C. RAMIREZ
Ohio State University School of Medicine
55-year-old woman presented with postmenopausal bleeding and a past history of an abnormal PAP smear.
Colposcopy followed by cervical conization revealed a neoplastic process involving the cervix.
Clinically she had disease consistent with stage 1B1. She underwent radical hysterectomy with
bilateral salpingo-oophorectomy and pelvic lymphadenectomy.
University of Sheffield
Sheffield, United Kingdom
34 year old female. Consultation case: "I would value your opinion on this lady's products of
conception. Grossly, some of the placental villi were slightly enlarged measuring up to 2mm in