• Myomectomy involves the excision of leiomyomas from the uterus.  It is performed in order to preserve fertility (by allowing retention of the uterus) in a reproductive-age woman.
• Count the number of fragments received.  Measure in aggregate (3 dimensions), and also measure the diameter of the smallest and largest fragments (express as a range).
• Describe the tissue (color, soft vs. firm, well-defined nodules vs. irregular fragments, whorled, bulging, trabeculated, hemorrhagic, necrotic, fibrotic, calcified).  If the external surface is identical to the cut surface, you do not need to describe them separately.
• Note the presence or absence of normal uterine tissue (i.e. endometrium, serosa).
• Make multiple cuts through each fragment.

• Nodules:  minimum of three sections, taken from different fragments.  The greater the amount of tissue received, the more sections that should be taken, but usually no more than five to seven.  Emphasize areas which appear fleshy, hemorrhagic, or necrotic.
• Normal uterine tissue:  one or two sections, if present, especially endometrium.

Internal use only

Received without fixative/in formalin, labeled _____ and “_____”, are __ (number) pink-tan, nodular soft tissue fragments measuring __ x __ x __ cm in aggregate and ranging from __ to __ cm in diameter.  Each has a whorled, bulging cut surface.  Focal _____ (hemorrhage, necrosis, fleshy appearance) is noted in the largest fragment.  Endometrium is present on the outer surface of a different fragment.  Representatively submitted as follows:

#__ & #__ = nodule with hemorrhagic foci

#__ & #__ = other nodules

#__ = endometrium with attached nodule

__ blocks, __ H&E