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FEMALE GENITAL TRACT PATH NUMBER 2

FEMALE GENITAL TRACT PATH NUMBER 2. Chronic salpingitis in a woman aged 49 with a history of lower abdominal pain and heavy menstrual bleeding. Operative surgical specimen. The wall of the left tube is greatly thickened: the right tube is filled with pus (arrows).

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FEMALE GENITAL TRACT PATH NUMBER 2

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  1. FEMALE GENITAL TRACT PATH NUMBER 2

  2. Chronic salpingitis in a woman aged 49 with a history of lower abdominal pain and heavy menstrual bleeding. Operative surgical specimen. The wall of the left tube is greatly thickened: the right tube is filled with pus (arrows)

  3. Pyosalpinx in a woman aged 30. Operative surgical specimen. The tube has become folded and distorted, hence you can see multiple cross sectional views through the tube.

  4. Subacute salpingitis with dilatation of the tubal lumen in a woman aged 40.

  5. Ruptured tubal ectopic pregnancy, resulting in death from haemorrhage into the peritoneal cavity, in a woman aged 36. Note the decidual reaction in the endometrium (blue arrows), and the presence of a corpus luteum of pregnancy in the ovary (red arrow). The black arrow points to the ectopic pregnancy.

  6. Endometriosis of ovary in woman aged 42 years. Presented with acute right iliac fossa pain, and operation disclosed leak from "chocolate" cyst (arrow). Right ovary removed.

  7. Ruptured tubal ectopic pregnancy in a woman aged 36. She was admitted to hospital because of the sudden onset of hypogastric pain followed by pain in the right shoulder. There had been intermittent bleeding per vagina for 8 weeks. On examination she was discovered to be shocked and there was generalised abdominal tenderness and guarding. At laparotomy a large amount of blood clot was found in the peritoneal cavity: the right fallopian tube was removed. Operative surgical specimen.

  8. Polycystic ovary removed at time of hysterectomy for menorrhagia in woman aged 35. Similar changes in other ovary. • Often associated with what Syndrome? • Stein-Leventhal syndrome

  9. Serous cystadenoma of the ovary

  10. Mucinouscystadenoma of the ovary in woman aged 78. The presence of papillary processes (arrows) in tumours of this group should always arouse suspicion of malignancy. However, microscopic examination of this particular tumour shows that the papillary processes are covered by a single layer of well differentiated epithelium.

  11. Adenocarcinoma of the ovary.

  12. Ovarian teratoma

  13. Dysgerminoma • Analagous to what in the testis?

  14. Fibroma

  15. Granulosa cell tumour

  16. Breast CA mets to ovaries, fallopian tubes • Bilateral normally = mets

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