Gross and microscopic findings
The uterus weighed 70 g and measured 8 x 4.5 x 3 cm.
The tall endometrium measured up to 8 mm in heigth, the myometrium was
1,4 cm thick, the cut surface appeared mottled. There were retrocervical
adhesions. The atrophic ovary measured 4.5 cm in greatest diameter
and was firmely adherent to the Fallopian tube, which was 6 cm long
and narrow, with intact fimbria.
On microscopic examination the uterine cervix appeared
normal for the age of the patient. The endometrium showed simple hyperplasia
with polyp formation (Fig. 1). The myometrium contained
groups of endometrial glands surrounded by stroma representing foci of
adenomyosis (Fig. 2). Similar foci could be detected
in the retrocervical tissue representing a retrocervical endometriosis
(Fig. 3). The mucosal epithelium of the tube was
tall and proliferative representing active estrogenic stimulation. The
inactive atrophic ovary was entrapped in broad adhesions which contained
groups of proliferating endometrial glands and stroma with old and fresh
haemorrhages.
Discussion