Ovary with corpus luteum cyst
Clinical story
During a kidney transplant operation, a cyst was found in the left ovary. The
ovary with the cyst was removed. The ovary with the cyst measured approximately 4 cm in diameter and the cyst had a smooth wall.
Comments
Transverse section from the cyst and ovary. The cyst contains fibrin and a proteinaceous substance. The cyst wall is composed of luteinized granulosa cells, which are rich in cytoplasm and have eccentrically located nuclei and prominent nucleoli. Multiple primordial follicles in a characteristic cortical stroma with a “criss-cross” pattern of connective tissue fibers are seen adjacent to the cyst wall.
Follicular cysts of varying size with granulosa cells and underlying theca cell
layers are also found.
Learning goals
To recognize functional ovarian cysts.