Pathology Review Carousel
Female Reproductive II

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Image	Slide #	Tissue	Mag	Feature
	1	Fallopian Tube	Gross	Ectopic (tubal) pregnancy. Fetus with anmiotic cavity and hemorrhagic tissue consistent with placental tissue. Note location in the distal (to middle) third of the tube (most common location).
	2	Fallopian Tube	Gross	Ectopic (tubal) pregnancy. Black (hemorrhagic) tissue consistent with placental tissue and blood clot in distal one third of falllopian tube. Note no fetal tissue is identifiable as is often the case.
	3	Fallopian Tube	LP	Ectopic (tubal) pregnancy. Wall of fallopian tube with stretched fimbriae, hemorrhage, and pale placental villi.
	4	Fallopian Tube	MP	Ectopic (tubal) pregnancy. Mucosa and lumen of the fallopian tube with columnar epithelium and villi lined by cyto- and syncytial trophoblastic cells.
	5	Fallopian Tube	HP	Same. Note inner layer of pale of cytotrophoblasts and outer eosinophilic layer of syncytial trophoblasts.
	6	Ovary	Gross	Dermoid cyst (mature cystic teratoma). Note rounded protuberances (mamillae or Rokitansky's protuberances) from which white structures (teeth) protrude. Also note the yellow-tan greasy materail which is sebaceous material and poorly sen hairs.
	7	Ovary	Gross	Dermoid cyst (mature cystic teratoma). Note rounded protuberances, mamillae or Rokitansky's protuberances. The gray-tan areas may represent sebacous material.
	8	Ovary	LP	Dermoid cyst (mature cystic teratoma). Note skin like areas with epidermis and sebaceous glands as well as other foci of surface pseudostratified columnar epithelium and deep foci of smooth muscle.
	9	Ovary	LP	Dermoid cyst with epidermis and pilosebaceous structures.
	10	Ovary	HP	Same. Also note ducts resembling eccrine sweat glands.
	11	Uterus and adnexa	Gross	Bilateral serous cystadenomas. (Cannot make the diagnosis on this photo alone).
	12	Ovary	Gross	Serous cystadenoma. Note the characteristic thin walled, multilocular cyst (may also be unilocular) usually contains watery fluid.
	13	Ovary	LP	Serous cystadenoma. Unilocular cyst lined by single layer of epithelial cells which in some areas resemble fallopian tube or may be flattened (pink area is collagen in the wall).
	14	Ovary	LP	Serous cystadenoma. Multilocular cyst.
	15	Ovary	MP	Serous cystadenoma. Multilocular cyst lined in some foci by low cuboidal or by flattened epithelial cells. One space lined by columnar epithelium suggestive of fallopian tube (ciliated, non-ciliated and peg cells). Note pale pink area is a corpora albicans.
	16	Ovary	Gross	Serous cystadenocarcinoma. Note that the cyst contains papillary and solid areas.
	17	Ovary	Gross	Serous cystadenocarcinoma. Note the cyst has numerous papillary projections which form a relatively solid area. There is focal hemorrhage.
	18	Omentum	Gross	Implantation metastases. Multiple small serosal nodules in the omentum. This was from an ovarian cystadenocarcinoma, but there are no gross features that allow that diagnosis.
	19	Ovary	LP	Serous cystadenocarcinoma. Note the papillary areas and the more invasive glandular areas.
	20	Ovary	MP	Serous cystadenocarcinoma. Note papillary foci (central fibrovascular stalk covered by epithelial cells) and the invasive area of poorly formed glands.
	21	Ovary	HP	Serous cystadenocarcinoma. Area of poorly formed glands with irregular often slit-like lumens.
	22	Ovary	HP	Serous cystadenocarcinoma. Papillary area with some large and some fine papillae and psammoma bodies. This area alone would be difficult to distinguish from a borderline tumor.
	23	Ovary	LP	Borderline tumor. Note papillary structures ont he cyst lumen and the ovarian surface (peritoneal serous proliferations). Note the absence of destructive stromal invasion.
	24	Ovary	LP	Borderline tumor. In this area the ovarian surface (peritoneum) is free of proliferations. The papillary projections are in the cyst lumen.
	25	Ovary	MP	Borderlinen tumor. Papillary configuration with slight epithelial tufting.
	26	Ovary	MP	Borderline tumor. Extensive epithelial tufting typical of borderline tumor.
	27	Uterus	Gross	Adenomyosis (endometrial glands and stroma extending into the myometrium for more than 1/2 low power field). Typical appearance of section of uterus with adenomyosis showing thickened myometrium (especially posteriorly) and trabeculation and hemorrhagic foci.
	28	Ovary	Gross	Endometriosis. Cross section of multiple chocolate cysts (often more brown than black).
	29	Placenta	Gross	Complete Hydatidiform Mole. Note appearance similar to clusters of grapes (swollen chorionic villi).
	30	Breast	Gross	Breast carcinoma. Note large irregular mass distorting one quadrant of breast and nipple.
	31	Woman	Gross	Breast carcinoma. Note nipple retraction and distortion of skin of left breast.
	32	Breast	Gross	Breast carcinoma. Note firm, white irregularly demarcated area with radiating pattern typical of scirrhous, invasive ductal (adeno)carcinoma.
	33	Breast	LP	Breast carcinoma, invasive ductal (adeno)carcinoma. Note cords and tubules haphazardly infiltrating desmoplastic (dense collagen) stroma.
	34	Breast	LP	Same.
	35	Breast	MP	Breast carcinoma, invasive ductal (adeno)carcinoma. Note some larger nests of tumor and the infiltration of fat.
	36	Breast	HP	Same. Nests of malignant ductal cells. Note nuclear irregularity.
	37	Breast	Gross	Fibroadenoma. Circumscribed, white rubbery nodule with slit-like spaces.
	38	Breast	LP	Fibroadenoma. circumscribed, nodule well demarcated from surrounding breast tissue composed of fibrous tissue and ducts.
	39	Breast	MP	Fibroadenoma. Fibrous tissue with slit-like compressed ducts.
	40	Breast	Gross	Fibrocystic changes. irregular firm white foci (fibrosis) and cysts.
	41	Breast	LP	Fibrocystic changes. Macro and microscopic cysts and fibrosis are features most easily seen at this mag.
	42	Breast	MP	Fibrocystic changes. Two cysts. One lined by apocrine metaplasia (large cells with abundant eosinophilic cytoplasm).
	43	Breast	HP	Same.
	44	Breast	HP	Fibrocystic changes. Focus with microcalcification.
	45	Breast	MP	Fibrocystic changes. Mild ductal epithelial hyperplasia. Ducts are lined by epithelium more than 2 cell layers thick.