Hysterectomy specimen from a 38 year old woman shows the following Gross Appearance. The most likely diganosis is:
The specimen in the picture is typical of leiomyomas or fibromyoma, or fibroids of the uterus. Gross Features of Uterine Leiomyoma (Fibroid, Myofibroma. Fibromyoma, Leiomyofibroma, Fibroma, Myoma) Sharply circumscribed, round, firm, grayish white masses The tumor is well circumscribed, but not encapsulated Often shells out Cut surface has a white whorled appearance that has been likened to raw silk. Often has a bulging and trabeculated cut surface. Usually within myometrium (intramural), may be submucosal or subserosal May be multiple Leiomyomas are the most common uterine tumors of smooth muscle origin, often admixed with variable amount of fibrous tissue component. Ref: Harsh Mohan , Atlas of Surgical Pathology
Endometrial Carcinoma
Leiomyoma Uterus
Leiomyosarcoma
Mixed Mullerian Tumor
Urinary tract