Granulomatous Mastitis (Fungal)

40 years old, Bangali Female patient, has many discharging breast sinuses. Received breast tissue shows multiple cutaneous sinuses, and cut section shows many irregular brownish cavitations oozing yellowish material. Microscopically shows non-caseating epithelioid granulomas with lympho-plasmacytic infiltrate and focal central neutrophilic collection as well as scattered multinucleated giant cells. ZN stain was negative for AFB. PAS stain shows positive needle-shaped bodies within the center of some granulomas ; suggestive of Actinomycosis.

Ovarian Mesonephroid Adenocarcinoma + Bilateral Ovarian & Cervical Endometriosis

Philipino lady, 46 YO, C/O Severe lower abdominal pain and intermittent bleeding. Sonography shows Lt. ovarian cyst 7 cm in diameter (not shown in photos). Frozen section shows a malignant growth. Total hysterectomy with bilateral salpingo-opherctomy was done. Histopathologic examination shows invasion of Lt. ovary by malignant mixed papillary and tubular growth with clear cells and focal hobe-nail pattern; bilateral ovarian endometriosis and cervical endometriosis.

MULTIPLE INTRAMUSCULAR MYXOMAS

Sudanese female, 60 years old, with multiple Rt. thigh swellings, appeared on ultrasonography as multiple thigh lipomas. Gross: 3 grayish well defined partially cystic masses, the largest 9.5X5 cm and the smallest 6X3 cm. Cutsection shows mucoid content with firm solid grayish parts. Microscopic: hypocellular pattern, with bluish mucoid background, no mitoses, few coarse BVs, peripheral muscle and fat tissue.(No lipoblasts)