A 65-year old obese woman
presented with a palpable mass in the lower abdomen.
MR images showed a well defined hyperintense mass (5 x 3.5 cm) of the uterine body.
Gross appearance of the specimen: The uterus measured 9 x 7.5 x 5 cm and had an intramural bulging, well-circumscribed round mass which measured 5cm in maximal diameter.
Cut surface of the nodule was pale-yellow in colour with a relatively soft consistency.
No areas of necrosis or hemorrhages were seen.
The serosal surfaces of the uterus and both the ovaries and fallopian tubes were macroscopically normal.
Sections from the uterine
nodule for diagnosis.
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