A 48-year-old woman visits the office because she has been experiencing prolonged heavy monthly bleeding. The patient has monthly menstruation, which lasts 5-6 days and is accompanied by severe bleeding, the passage of big blood clots, and intensified stomach cramps. She has had two vaginal births and has no serious medical history. Her mother's endometrial cancer is an important family history. 24 kg/m² is the BMI. The vital indicators are typical. Ultrasound of the pelvis reveals a uterine lump. A complete abdominal hysterectomy is performed on the patient; the gross examination of the uterus is displayed below: The abnormal region indicated by the arrow is most likely to display which of the following microscopic findings?

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Quizplus · Accepted Answer

Eductional Objective: A hysterectomy is a common surgical procedure used to treat patients with symptomatic uterine fibroids. In their most basic form, fibroids resemble distinct, yellow-gray tumors with a thin pseudocapsule separating them from the healthy uterine myometrium. Microscopy is used to confirm the diagnosis since each fibroid develops from a single progenitor smooth muscle cell. This monoclonal proliferation of myocytes and fibroblasts is often visible. Fibroid myocytes are consistent in size and shape, contain few mitotic figures, and are benign in nature.

A 48-Year-Old Woman Visits the Office Because She Has Been