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Hysterectomy from a 35-year -old female showed the following gross and histological features. What could be your possible diagnosis?

A
Carcinoma endometrium
B
Leiomyoma
C
Malignant mixed Mullerian tumor
D
Leiomyosarcoma
High-Yield Explanation
Ref. Robbins Pathology. 9th edition. Page. 1019   Leiomyoma is the most common pelvic tumor in women   Symptoms include: AUB Pelvic pain and pressure Infertility or adverse pregnancy Gross Sharply circumscribed, round, firm, grayish white, "raw silk" and whorled cut surface Often shells out Bulging and trabeculated cut surface Usually within myometrium (intramural), may be submucosal or subserosal Microscopy Whorled (fascicular) pattern of smooth muscle bundles separated by well vascularized connective tissue Smooth muscle cells are elongated with eosinophilic or occasional fibrillar cytoplasm and distinct cell membranes May develop areas of degeneration if large including hyaline or mucoid change, calcification, cystic change or fatty metamorphosis

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