PATHOLOGY REPORT:
Clinical History: Ovarian mass, postmenopausal bleeding, endometrial thickening.
Operation/Procedure: Removal of mass / Hysterectomy / Bilateral salpingo-oophorectomy / +/- More
Gross: Tissue "A" - Received fresh for frozen section is an 11.5 x 10 x 8.5 cm cyst mass containing thick, pasty, tan-red contents. The outer surface has a rubbery, white, thick, 5.5 cm in diameter lesion with laminated cut surfaces, in addition to a 2.5 cm disrupted, hemorrhagic cyst. The inner lining of the cyst is carpeted with 0.3-1.8 cm nodules and the entire inner lining is red-brown and hemorrhagic. Normal ovarian parenchyma is not identified. The mass is sampled on two blocks for frozen section.
Diagnoses:
Tissue "A" - Right ovary, oophorectomy - Serous cystadenoma with hemorrhage and infarct, 11.5 cm.
Tissue "B" - Right tube, salpingectomy - Ovarian tissue and a fallopian tube with extensive hemorrhagic change, no malignancy.