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2015 Annual Meeting
Evening Specialty Conference - Gynecologic Pathology
Monday, March 23, 2015 - 7:30pm to 9:30pm
CC Ballroom C
Clinical histories are printed below. For the fastest viewing of virtual slides, click:

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Clinical Summary:

A 23 year-old female had excision of a 5.2 cm vulvar mass.

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Low magnification
Intermediate magnification
Intermediate magnification
High magnification
High magnification
Case title: 54 year old woman with ascites and ovarian mass
Clinical Summary:

The patient is a 54 year old woman.  During cholecystectomy, she was noted to have a small amount of ascites.  Further exploration revealed a right ovarian mass which was biopsied.  The H&E and immuno (CD117) images are from the ovarian biopsy. An endometrial curettage was also performed and revealed similar findings.

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CD117
CD117
Case title: Application of WHO criteria
Clinical Summary:

A 67 year old G4P1 with a personal history of colon cancer 10 years ago, presented with 2 weeks of vaginal bleeding.  Imaging showed a complex pelvic mass, and ultrasound confirmed a large uterine mass.  Hysterectomy and bilateral salpingo-oophorectomy and staging performed.  The uterus showed an intracavitary, large, polypoid 9 cm mass, with no significant myometrial invasion seen grossly.

Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Representative sections of different areas of the large mass
Case title: A Mixed Epithelial Mesenchymal Tumor of the Cervix in a Postmenopausal Woman
Clinical Summary:

A 55 year old woman, G3P3, had a 1 to 2 year history of postmenopausal bleeding. During the last year she developed a sensation of pelvic pressure. She began having pain with intercourse and started having a watery vaginal discharge.  She had not seen a physician for more than 20 years, and had not had a pelvic examination since her last Pap smear in 1983. She never had a mammogram or colonoscopy. In June, 2014 she was seen by a gynecologist and was found to have a cauliflower like lesion that replaced the cervix. A biopsy showed fibrovascular tissue and necrosis. A MR scan revealed a large mass involving the cervix, uterine corpus and vagina. A repeat biopsy showed spindle cells with atypical nuclei. A consultant interpreted the findings as showing ulceration, granulation tissue and necrosis. She then underwent a hysterectomy and bilateral salpingectomy. The tissue for evaluation is from the cervix.