O&G Surgical Pathology Topics covered

The following examples were shown or discussed

Physiological uterine enlargement (pregnancy)

  • Post Partum Haemorrhage due to Placenta Accreta

Pathological causes of an enlarged uterus :-

  • Fibroids showing
    • Red degeneration (ischaemia) & association with sudden onset of lower abdominal pain
    • Calcification and Bony metaplasia
    • Cystic and Myxoid Degeneration
    • Malignant change (Leiomyosarcoma)
    • Fatty change (micrscopic only)
  • Adenomyosis
  • Benign Endometrial polyp
  • Adenocarcinoma of the uterus
    • Affects on staging  – Depth of invasion  – Invasion of the endocervix

Placental pathology