SURGICOPATHOLOGIC CONFERENCE AUGUST GREEN SVC

OBSTETRICAL CASES Ectopic Pregnancy Abortion Trophoblastic Disease TOTAL OBSTETRIC PROCEDURES Bilateral Tubal Ligation Completion Curettage Dilatation and Curettage Salpingiectomy Suction Curettage 7 16 0 24 16 12 4 7 0

GYNECOLOGICAL CASES ONG prob benign ONG prob malignant Myoma Uteri Adenomyosis AUB GTN Straddle injury POP GYNECOLOGICAL PROCEDURES Salpingo-oophorectomy Oophorocystectomy TAH TAHBSO TAHBSO,IO, PFC, BLND Vaginal hysterectomy with AP repair Myomectomy Diagnostic curettage 4 0 4 0 3 0 0 2 13 1 0 1 5 0 2 1 3

OB CASES
Name 1. JS/AM Hipolito,C 32 G3P3 (3-0-0-3) Pre-OP Dx Procedure Post-Op DX G3P3(3-0-0-3) PU, cephalic, delivered, term (38-39 wks),live baby boy (3.32kg) AGA, by E LSCS 2x + BTL for prev CS 1x, VSC G8P8(8-0-2-5) PU, cephalic, delivered, term (39-40 wks),live baby girl(3kg) AGA, by E LSCS 2x + BTL for prev CS 1x, VSC Histopath Dx No histopathologic changes, bilateral fallopian tubes G3P2(2-0-0-2) E LSCS 2x PU 38 wks AOG, prev with BTL CS 1x (2004-BGHMC) JS/GM for breech presentation, cephalic in labor

2.RA/FR Calse,J. 36 G8P8 (8-0-2-5)

G8P7(7-0-2-4) PU 38 wks AOG, prev CS 1x (2010-BGHMC) for arrest of descent, cephalic in labor

E LSCS 2x with BTL RA/JS

No histopathologic changes, bilateral fallopian tubes

Name 3.RA/FR Cabading,D. 21 G3P3 (3-0-0-3)

Pre-OP Dx G3P3(3-0-0-3) PU 39 wks AOG, CIL, prev CS 1x for twin gestation (2010 BGHMC)

Procedure E LSCS 2x+BTL RA/JS

Post-Op DX G3P3(4-0-0-4) PU,delivered, cephalic, term birth (38-39 wks) live girl, (2.63kg) by E LSCS 2x+BTL for prev CS 1x, VSC

Histopath Dx NHPC, bilateral fallopian tubes

4.GM/JD Labotan,M. 33 G3P3 (3-0-0-3)

E LSCS G3P2(2-0-0-2) PU 37 1x+BTL wks AOG, PreGM/JS eclampsia severe uncontrolled

G3P3(3-0-03)PU delivered,term (37-38wks) live baby boy,(2.7kg) AGA, by E LSCS+BTL for pre-eclampsia severe uncontrolled

NHPC, bilateral fallopian tubes

Name 5.GM/JD Morla,E. 37 G3P3 (3-0-0-3)

Pre-OP Dx

Procedure

Post-Op DX G3P3(3-0-0-3) PU,delivered, cephalic, term (40-41 wks) live boy, (3.1kg) by E LSCS 3x+BTL for prev CS 2x, VSC G2P2(2-0-02)PU delivered,term (40wks) live baby boy,(2.87kg) AGA, by E LSCS+BTL for prev cs 1x, VSC

Histopath Dx NHPC, bilateral FT

G3P2(2-0-0-2) PU 37 E LSCS wks AOG, CIL, prev 3x+BTL CS 2x for CPD(2004 GM/JS UGH)

6.GM/JD Ugay,M. 37 G2P2 (2-0-0-2)

G2P1(1-0-0-1) PU 39 E LSCS wks AOG, prev cs 1x 2x+BTL for CPD (2004GM/JS WPDH)

NHPC, bilateral FT

Name 7.GM/JD Andomang,Z. 31 G5P5 (5-0-0-5)

Pre-OP Dx G5P5(5-0-0-5) S/P partum, Voluntary Sterilization client

Procedure E BTL GM

Post-Op DX G5P5(5-0-0-5) S/P partum, Voluntary Sterilization client

Histopath Dx NHPC, bilateral fallopian tubes

8.JS/AM Pel-is,T. 29 G4P4 (4-0-0-4)

G4P3(3-0-0-3) PU 39 E LSCS wks AOG, prev cs 2x 3x+BTL for breech(2006JS/RA BGH,2008)

G4P4(4-0-04)PU delivered,term (39-40wks) live baby girl,(2.84kg) AGA, by E LSCS+BTL for prev cs 2x, VSC

NHPC, bilateral fallopian tubes

Name 9.RA/FR Placino,B. 32 G3P3 (3-0-0-3)

Pre-OP Dx

Procedure

Post-Op DX G3P3(3-0-0-3) PU,delivered, cephalic, term (40-41 wks) live boy, (3.1kg) by E LSCS 3x+BTL for prev CS 2x, VSC

Histopath Dx NHPC, bilateral FT

G3P2(2-0-0-2) PU E LSCS 38wks AOG, CIL 2x+BTL prev CS 2x (G12005,BGH CPD,2008 BGH

10.RA/FR Mongado,M. 32 G3P3 (2-1-0-2)

G3P2(1-1-0-1) PU 39 wks AOG, CIL Prev CS 2x, (2000 Placenta Previa Totalis-BGH, 2009)

E LSCS 3x+BTL RA/JS

G3P3(2-1-0NHPC, 2)PU bilateral FT delivered,term (38-39wks) live girl,(2.9kg) AGA, by E LSCS 3x+BTL for prev cs 2x, VSC

Name 11.RA/FR Sescon,E. 32 G4P3 (4-0-1-4)

Pre-OP Dx G4P2(2-0-1-2) PU 35-36 wks AOG, twin gestation, breech cepahalic in preterm labor

Procedure Post-Op DX E LSCS 1x+BTL RA/JS G4P3(4-0-1-4) PU,delivered, breech- cephalic, preterm (35-36 wks) live set of boys, by E LSCS 1x+BTL for twin gestation 2x, VSC

Histopath Dx NHPC, bilateral FT

12.JT/JD MabalotJ. 33 G3P3 (1-2-0-3)

G3P2(1-2-0-2) PU E LSCS 33-34 wks AOG, pre- 1x+BTL eclampsia severe in RA/DB impending eclampsia

G3P3(1-2-0-3)PU delivered, preterm (34-35wks) live baby girl,(1.75kg) SGA, by E LSCS 1x+BTL for preeclampsia severe in impending eclampsia, VSC

Hydatid cyst of Morgagni, 1st fallopian tube; NHPC, 2nd fallopian tube

Name 13.JT/JD LaureataJ. 32 G4P4 (4-0-0-3)

Pre-OP Dx G4P3(3-0-0-2) PU 38-39 wks AOG, CIL, prev CS 3x for PCD(1999 PCDH)

Procedure E LSCS 4x+BTL GM/JT

Post-Op DX G4P4(4-0-0-3) PU,delivered, cephalic, term (39-40 wks) live boy, (2,.47kg) by E LSCS 4x+BTL for prev CS 3x, VSC

Histopath Dx Hydatid cyst of Morgagni, 1st FT; NHPC, 2nd FT

14.GM/AM Balitang,E. 29 G2P2 (2-0-0-2)

G2P1(1-0-0-1) PU 37-38 wks AOG, CIL, prev CS 2x for Oligohydramnios (2003 BMC)

E LSCS 2x+BTL GM/DB

G2P2(2-0-0-2) PU,delivered, cephalic, term (39-40 wks) live girl, (3.38kg) by E LSCS 2x+BTL for prev CS 1x, VSC

Name 15.DB/FR Bas-ilan,L. 35 G7P7 (6-1-0-7)

Pre-OP Dx

Procedure Post-Op DX G7P7(6-1-0-7)PU delivered, preterm (3132wks) live baby girl,(1.55kg) SGA, by E LSCS+BTL for pre-eclampsia severe in impending eclampsia, VSC

Histopath Dx NHPC, Bilateral fallopian tubes

G7P6(6-0-0-6) PU E LSCS 33-34 wks AOG, pre- 1x+BTL eclampsia severe in DB/GM impending eclampsia

Name 16.DB/JD Namuro,S. 28 G4P4 (4-0-0-4)

Pre-OP Dx

Procedure

Post-Op DX G4P4(5-0-0-5) PU,delivered, transversetransverse, term (38wks) live set of girls,by E LSCS 1x+BTL for twin gestation trasnversetransverse, VSC

Histopath Dx NHPC, bilateral fallopian tubes

G4P3(3-0-0-3) PU 38 E wks AOG, twin LSCS+BTL gestation DB/JS transversetransverse, in labor

Completion Currettage (12)

Name 1.DB/JD Caluza,E. 36 G1P0 (0-0-1-0) Pre-OP Dx Procedure Post-Op DX G1P0(0-0-1-0) PU 8-9 wks AOG, abortion incomplete Non septic non induced, completed Histopath Dx Decidua, No villi G1P0(0-0-1-0) PU 8- Completion 9 wks AOG, Currettage abortion incomplete Non septic non induced

2.DB/JD Mauri,P. 22 G2P1 (1-0-1-1)

G2P1(1-0-1-1) PU 910 wks AOG, abortion incomplete, non septic non induced

Completion Currettage

G2P1(1-0-1-1) PU 9-10 wks AOG, abortion incomplete, non septic non induced, completed

Placental tissues and decidual tissues

Name 3.DB/JD Mapili,B. 33 G5P3 (3-0-2-3)

Pre-OP Dx G5P3(3-0-2-3) PU 12-13 wks AOG, abortion incomplete, non septic non induced

Procedure Completion Currettage

Post-Op DX G5P3(3-0-2-3) PU 12-13 wks AOG, abortion incomplete, non septic non induced G4P3(3-0-1-3) PU 9-10 wks AOG, abortion incomplete Non septic non induced, completed

Histopath Dx Decidual tissues with syncytiotrophoblast

4.GM/JD Gangab,G. 36 G4P3 (3-0-1-3)

G4P3(3-0-1-3) PU 9- Completion 10 wks AOG, Currettage abortion incomplete Non septic non induced

Placental tissues and decidual tissues

Name 5.DB/JD Saniben,R. 16 G1P0 (0-0-1-0)

Pre-OP Dx

Procedure

Post-Op DX G1P0(0-0-1-0) PU 14-15 wks AOG, abortion incomplete Non septic non induced, completed

Histopath Dx Placental tissues and decidual tissues

G1P0(0-0-1-0) PU Completion 14-15 wks AOG, Currettage abortion incomplete Non septic non induced

6.DB/JD Chockial,C. 17 G1P0 (0-0-1-0)

G1P0(0-0-1-0) PU 8 wks AOG, abortion incomplete, non septic non induced

Completion Currettage

G1P0(0-0-1-0) Decidua, no PU 8 wks AOG, villi abortion incomplete, non septic non induced

Name 7.RA/FR Mendoza,M. 22 G2P1 (1-0-1-1)

Pre-OP Dx

Procedure

Post-Op DX G2P1(1-0-1-1) PU 7-8 wks AOG, abortion incomplete Non septic non induced, completed

Histopath Dx Placental tissues and decidual tissues

G2P1(1-0-1-1) PU 7- Completion 8 wks AOG, abortion Currettage incomplete Non septic non induced

8.GM/JD Dait,R. 29 G3P0 (0-0-3-0)

G3P0 (0-0-3-0) PU 9- Completion 10 weeks AOG, Currettage abortion incomplete, non septic non induced

G3P0(0-0-3-0) Decidua, no PU 9-10 weeks villi AOG, abortion incomplete, non septic, non induced, completed

Name 9.RA/FR Alvarez,M. 34 G6P5 (5-0-1-5)

Pre-OP Dx

Procedure

Post-Op DX G6P5(5-0-1-5) PU 11-12 wks AOG, abortion incomplete Non septic non induced, completed

Histopath Dx Decidua with syncytiotrophoblast

G6P5(5-0-1-5) PU Completion 11-12 wks AOG, Currettage abortion incomplete Non septic non induced

10.JT/JD Tuangco,H. 28 G5P3 (3-0-2-3)

G5P3 (3-0-2-3) PU 12-13 weeks AOG, abortion incomplete, non septic non induced

Completion Currettage

G5P3(3-0-2-3) Decidua, no PU 12-13 weeks villi AOG, abortion incomplete, non septic, non induced, Completed

Name 11.RA/FR Bantiag,M. 34 G5P3 (3-0-2-3)

Pre-OP Dx

Procedure

Post-Op DX G5P3(3-0-2-3) PU 8-9 weeks AOG, abortion incomplete, non septic, non induced, Completed

Histopath Dx Placental tissues and decidual tissues

G5P3 (3-0-2-3) PU 8- Completion 9 weeks AOG, Currettage abortion incomplete, non septic non induced

12.GM/AM Molitas,N. 26 G3P1 (1-0-2-1)

G3P1(1-0-2-1) PU 10 wks AOG, inevitable abortion

Completion Currettage

G3P1(1-0-2-1) PU 10 wks AOG, abortion incomplete Non septic non induced, completed

Decidua with syncytiotrophoblast

Dilatation and Currettage

Name 1.RA/FR Marzo,N. 35 G1P0 (0-0-1-0) Pre-OP Dx Procedure Post-Op DX G1P0(0-0-1-0) PU 9-10 wks AOG, missed abortion, evacuated Histopath Dx G1P0(0-0-1-0) PU 9- Dilatation 10 wks AOG, Missed Currettage abortion

2.JS/AM Longboy,C. 33 G5P3 (3-0-2-3)

G5P3(3-0-2-3) PU 14 weeks AOG, missed abortion

Dilatation Currettage

G5P3(3-0-2-3) PU 14 weeks AOG, missed abortion, evacuated

Decidua, no villi

Name
3. JT/JD Erive, L. 40 G3P2 (2-0-1-2)

Pre-OP Dx
Procedure G3P2(2-0-1-2) PU 9- Dilatation 10 wks AOG, missed Currettage abortion

Post-Op DX
G3P2(2-0-1-2) PU 9-10 wks AOG, missed abortion, evacuated

Histopath Dx
Necrotic decidua, no villi

4.JT/AM Sanchez,J 33 G3P2 (0-2-1-1)

G3P2(0-2-1-1) PU 11-12 wks AOG, missed abortion

Dilatation Currettage

G3P2(0-2-1-1) PU 11-12 wks AOG, missed abortion, evacuated

Placental tissues and decidual tissues

Ectopic Pregnancy
Name 1. DB/FR Quiros,M. 25 G1P0 (0-0-1-0) Pre-OP Dx Procedure G1P0 Ectopic Pregnancy Salpingecto my, right Peritoneal lavage DB/GM G1P0(0-0-1-0) Tubal pregnancy, right ampullary, ruptured with minimal hemoperitoneum Post-Op DX Histopath Dx -Tubal pregnancy fallopian tube ,left -hydatid cyst of morgagni

2.RA/FR Ebeng,S. 34 G4P2 (2-0-2-2)

G4P2(2-0-1-2) t/c Ectopic Pregnancy

E Exlap Salpingecto my left, PL Appendecto my RA/JS

G4P2(2-0-2-2) Tubal pregnancy left ampullary ruptured w/ min hemoperitoneum Reactive Appendicitis

-Tubal pregnancy left , FT -early acute appendicitis, vermiform appendix

Name
3. JS/AM Martin, H 24 G2P1 (1-0-1-1)

Pre-OP Dx
Procedure G2P1(1-0-0-1) Ectopic pregnancy Salpingectomy left, PL JS/RA

Post-Op DX
G2P1(1-0-1-1) Tubal Pregnancy left, ampullary ruptured with mod hemoperitoneum

Histopath Dx
Ruptured left tubal pregnancy

4.JS/AM Robles,S. 22 G2P1 (1-0-1-1)

G2P1(1-0-0-1) t/c Ectopic Pregnancy

E Exlap Salpingectomy right, cystectomy left, PL, blood transfusion JS/GM

G2P1(1-0-1-1) Tubal Tubal pregnancy pregnancy, right ampullary right ruptured w/ mod. hemoperitoneum Hemmorrhagic cyst left

Name
5. JT/JD Tacay,M. 25 G3P2 (2-0-1-2)

Pre-OP Dx
Procedure G3P2(2-0-0-2) Ectopic Pregnancy E Exlap Salpingectomy right, PL Adhesiolysis RA/JT

Post-Op DX
G3P2(2-0-1-2) Tubal pregnancy right ruptured with massive hemoperitoneum, Massive adhesions

Histopath Dx
Ruptured tubal pregnancy, right fallopian tube

6.JT/JD Vigilia,L. 24 G2P1 (1-0-1-1)

G2P1(1-0-0-1) T/c Ectopic Pregnancy

E Exlap Salpingectomy left, PL RA/JT

G2P1(1-0-1-1) Tubal pregnancy left ampullary ruptured with minimal hemoperitoneum

Tubal pregnancy, left fallopian tube

Name
7. JT/JD Salatic,I 16 G1P0 (0-0-1-0)

Pre-OP Dx
Procedure G1P0 Ectopic Pregnancy E Exlap Salpingectomy left, PL RA/JT

Post-Op DX

Histopath Dx

G1P0(0-0-1-0) Tubal Tubal pregnancy pregnancy, left ruptured with left moderate hemoperitoneum,

GYNECOLOGY CASES

Diseases of the UterusDiagnostic Currettage

Name Pre-OP Dx Procedure Post-Op DX Histopath Dx

1.JT/AM Palma,L. 36 G2P2 (2-0-0-2)

G2p2(2-0-0-2) Abnormal Uterine Bleeding r/o endometrial pathology

Diagnostic Currettage

G2P2(2-0-0-2) Abnormal Uterine Bleeding r/o endometrial pathology

2.GM/AM Agustin,P. 26 G4P3 (3-0-1-3)

G4P3(3-0-1-3) Abnormal Uterine Bleeding r/o endometrial pathology

Diagnostic Currettage

G4P3(3-0-1-3) Abnormal Uterine Bleeding r/o endometrial pathology

Consistent with a hemorrhagic secretory endometrium with focal features suggestive of an

Name
3.GM/JD Bastian,S. 34 G3P3 (3-0-0-3)

Pre-OP Dx
Procedure G3p3(3-0-0-3) Abnormal Uterine Bleeding r/o endometrial pathology, anemia severe secondary Diagnostic Currettage, Blood transfusion

Post-Op DX
G3P3(3-0-0-3) Abnormal Uterine Bleeding r/o endometrial pathology, anemia corrected

Histopath Dx
Simple hyperplasia without atypia

Name
4.RA/FR Daowan,J. 44 G6P3 (3-0-3-3)

Pre-OP Dx
Procedure G6p3(3-0-3-3) Myoma Uteri, Intramural TAHBSO RA/GM/JS

Post-Op DX
G6P3(3-0-3-3) Myoma Uteri Intramural

Histopath Dx
>Intramural leiyomyoma, corpus uteri >late proliferative endometrium >chronic cervicitis w/ squamous metaplasia and nabothian follicles,cervix >Cystic Follicles,bilateral ovaries >Simple cyst, right ovary >surface inclusion cyst ,left ovary HCM,Right FT NHPC,left FT

UTERUS: 12 X 13 X 9 cim CERVIX: 6 X 2 X 1.5 cm Cut section: Whitish well Circumscribed Intramural Mass with whorled cut

Name

Pre-OP Dx
Procedure G2p2(2-0-0-2) Myoma Uteri, Intramural TAH RA/JS

Post-Op DX
G2P2(2-0-0-2) Myoma Uteri Intramural with subserous component

Histopath Dx
>Submucous, intramural and subserosal leiyomyomas, corpus uteri >Secretory endometrium >Mild chronic cervicitis with focal squamous metaplasia ad nabothian follicles

5.RA/JD Dalangin,M. 42 G2P2 (2-0-0-2)

Corpus: 11 x 8 x 6 cm

Cervix: 4 x 3 x 1.5 cm

Cut section: Submucous, Intramural, and subserous myomas

Name
6. GM/JD Valdez,E. 72 G9P38 (8-0-1-8)

Pre-OP Dx
Procedure G9P8 (8-0 -1 -9) POP St. IV, CAD, lateral wall ischemia not in CHF HPN II, controlled Vaginal Hysterecto my with AP repair GM/RA/JS

Post-Op DX
G9P8 (8-0 -1 -9) POP St. IV, CAD, lateral wall ischemia not in CHF HPN II, controlled

Histopath Dx

Name
7.RA/AM De la Cruz, C. 69 G8P8 (8-0-0-8)

Pre-OP Dx
Procedure G8P8(8-0-0-8) POP St IV Vaginal Hysterecto my with AP repair RA/GM/JS

Post-Op DX
G8P8(8-0-0-8) POP St IV

Histopath Dx
Corpus Uteri -endometrial polyp -atrophic endometrium Cervix -mild chronic cervicitis

Corpus: 4.5 x 3.5 x 2.5 cm Cervix: 3.8 x 2.5 x 1.8 cm

Name
8.GM/AM Divina,H. 42 G0P0

Pre-OP Dx
Procedure G0P0 Myoma TAHBSO Uteri GM/RA/JS submucous, Complex Hyperplasia with focal atypia s/p D&C anemia sec. to acute blood loss corrected.

Post-Op DX
G0P0 Myoma Uteri submucous, Complex Hyperplasia with focal atypia s/p D&C anemia sec. to acute blood loss corrected.

Histopath Dx

Uterus: 10 cm x 10 cm x 7 cm

Name 9.GM/JD Azur,M. 33 G0P0

Pre-OP Dx Procedure G0P0 Myoma Uteri submucous Myomectomy w/ chromopertu bation -adhesiolysis GM/RA

Post-Op DX G0P0 Myoma Uteri Submucous, massive adhesions

Histopath Dx -leiyomyoma

Intra-op findings: Uterus: 10 x 10 x 8 cm Submucous myoma: 9 x 9 x 7 cm, posteriorly located Patent right fallopian tube on chromopertubation

Diseases of the Ovary

Name 1.RA/FR Yorong,T. 37 G1P1 (1-0-0-1) Pre-OP Dx Procedure G1P1(1-0-0-1) Ovarian New Growth left r/o Torsion E S&O left, PL, appendectomy G1P1(1-0-0-1) Ovarian New Growth left leaking probably endometrioma, reactive appendicitis >Endometriotic Cyst, Hemorrhagic corpus luteum and cystic follicles, left ovary >Vascular Congestion Left fallopian tube >Reactive Periappendicitis Post-Op DX Histopath Dx

Name
2.FR De Guzman,I. 44 G6P3 (3-0-3-3)

Pre-OP Dx
Procedure G6P3(3-0-3-3) TAHBSO Ovarian New FR/JD/RA Growth Bilateral

Post-Op DX
G6P3(3-0-3-3) Ovarian New Growth bilateral twisted probably dermoid cyst

Histopath Dx
Mature cystic teratoma, bilateral ovaries

Right Ovary: cystic, smooth, enlarged to 5.5 x 7 x 4cm

Uterus: 4x4x2 cm Cervix: smooth

Left ovary: twisted, 10x8x4 cm Cystic with some solid components

Name 3. RA/JD Abalanza,T 40 G2P2 (2-0-0-2)

Pre-OP Dx Procedure G2P2(2-0-0-2) Ovarian new growth bilateral TAHBSO, adhesiolysis RA/JS

Post-Op DX G2P2(2-0-0-2) Ovarian New Growth bilateral probably endometrioma, massive adhesions, anemia secondary to acute blood loss corrected

Histopath Dx -Intramural leiyomyomas,cor pus uteri -adenomyosis -late proliferative endometrium -chronic cervicitis with squamous metaplasia and nabothian follicles -endometriotic cyst, bilateral ovaries -hydatid cyst of morgagni,bilatera l FT

Anterior View

7.2x6.5x3.5c uterus

4.9x3.5x1.2cm cervix

.
Posterior View

Name 4.JS/AM Almeron,P. 43 G1P1 (1-0-0-1)

Pre-OP Dx Procedure G1P1(1-0-0-1) Ovarian New Growth right probably endometrioma TAHBSO appendecto my JS/RA

Post-Op DX G1P1(1-0-0-1) Ovarian New Growth right probably dermoid

Histopath Dx -Mature cystic teratoma w/ acute hemorrhagic necrosis right ovary -secretory endometrium -acute & chronic cervicitis w/ squamous metaplasia & nabothian follicles -vascular congestion and recent hemorrhage, RFT NHP, LFT -reactive periappendicitis

RIGHT OVARY: 11 X 8 X 5 cm Twisted 2x, gangrenous

UTERUS: 7 X 7X 5 cm CERVIX: 4X3X2.5 cm