C4: Healed MI

C5: Old MI with Mural Aneurysm

C6&7: Atherosclerosis of Aorta &
Common iliacs, complicated with

cvs
Ulceration, Thrombosis & Calcification
C9: Saccular Aneurism of Radial artery

C 4, 5, 6, 7, 9
HEALED MYOCARDIAL INFARCTION
o Opened left ventricle
o Ant wall, apex & part of IV
septum: thin & fibrosed
o Rest of wall & papillary ms:
concentric hypertrophy
o Lining endocardium:
fibrosed, opaque, whitish
o Ventricular cavity: dilated
 OLD MI WITH MURAL ANEURYSM
o Adult heart (opened through left
ventricle)
o Demonstrates mitral valve (V),
conda tendeni & thickened
papillary ms (P)
o Cardiac wall: markedly
thickened V
o Apex: thinner (than rest of
myocardium) with dilatation &
bulging out (to form aneurismal
sac)
o Muscular tissue: replaced with
fibrous tissue P
ATHEROSCLEROSIS OF AORTA & COMMON ILIACS, COMPLICATED
WITH ULCERATION, THROMBOSIS & CALCIFICATION
o Segments of descending aorta & common
iliac arteries
o Intima: multiple yellowish atherosclerosis
patches (more frequent around vasa vasorum)
o Raised whitish plaque: complicated by
ulceration to form irregular ulcers, others are
covered with thrombi
o Many plaques: hard & whitish chalky colour
(due to precipitation of calcium)
o In C6: elongated branched thrombus is involving
terminal part of aorta & common iliacs
SACCULAR ANEURYSM OF RADIAL ARTERY
oSegment of radial
artery
oAt its middle: dark
grayish blue
globular mass
(measured 33 cm)
 R2: Fibrocaseous TB
R3: Pulmonary Miliary TB
R7: Early Pulmonary Brochiectasis
R8: Advanced Brochiectasis
R13: Metastasis in the Lung

RESPIRATORY
R 2, 3, 7, 8, 13
FIBROCASEAOUS TUBERCULOSIS
o Part of lung tissue
o Visceral pleura: whitish
(due to fibrosis)
o Cut section reveals 3
cavities with irregular
margin
o Lining cavities: smooth
(due to re-epithelization)
o Fibrous bronchi:
transverse thickened
fibrous bands
PULMONARY MILIARY TUBERCULOSIS
o 2 slices of lung tissue
o Visceral pleura: whitish
(due to fibrosis)
o Pulmonary parenchyma:
packed with grayish small
nodules
o These tubercles: ranged in
size from 2-4 mm (relatively
equal distance from each
other)
o Lung tissue in between:
less spongy
EARLY PULMONARY BROCHIECTASIS
o Partial pneumonectomy of lung
o Visceral pleura: whitish &
thickened (due to fibrosis)
o Frequent dilated bronchi
o Wall of bronchi: thickened (due
to fibrosis)
o Bronchial lumen: filled with
inspisated exudate
o Lung parenchyma in between:
less spongy
ADVANCED BROCHIECTASIS
o Slice of lung
o Cut section reveals: extensively
fibrosed bronchi with loss of
normal spongy appearance of lung
o Bronchi: localized dilatation in
fusiform/ secular shapes
o Bronchial lumen: filled with
inspisated exudate
 METASTASIS IN THE LUNG
o Longitudinal section in lung
o Infiltration with multiple whitish
nodules of variables size (ranged in
size from 0.5-1 cm with irregular
margin)
o Distance between nodules:
variable
o Rest of lung parenchyma: less
spongy

NB: this lesion should be differentiated from pulmonary military TB

 D5: Gastric Lieomyoma
D6: Ulcerative Carcinoma of stomach
D8: Pyloric Anular Carcinoma
D11: Obstructive Suppurative
Appendicitis with Feocolith
D20: Enlarged Fatty Liver

DIGESTIVE
D33: Metastasis in the Liver
D39b: Chronic Calcular Cholecystitis
with infected Mixed Stones
D 5, 6, 8, 11, 20, 33, 39 b
GASTRIC LIEOMYOMA
o Segment of stomach & pyloric
end
o Pyloric region: diffusely
thickened by pink tumour tissue
(measures 2x5 cm)
o Tumour:
 oval  marked pyloric stenosis
  destroy/ infiltrate the wall
o Overlying mucosa: intact
ULCERATIVE CARCINOMA OF STOMACH
o Segment of stomach:
occupied with large
malignant ulcer
(measures 5x7 cm)
o Ulcer: everted edge,
necrotic floor &
indurated base
o Surrounding mucosa:
prominent folds with
neoplastic infiltration
o Prominent vascularity
PYLORIC ANULAR CARCINOMA
o Complete resection
of stomach with
pylorus
o At pyloric end:
whitish tumour
infiltrating wall to
induce stenosis of
pyloric canal
o Muscle wall:
completely
destroyed
OBSTRUCTIVE SUPPURATIVE APPEDICITIS
WITH FEOCOLITH
o Enlarged congested
appendix
o Serous surface:
covered with
yellowish tan necrotic
material
o At upper end: small
black feocolith (was
in lumen)
ENLARGED FATTY LIVER
o Slice of liver
o Relatively enlarged
o Yellowish colour
o Cut section:
reveals smooth
surface with
rounded
borders
indicating soft
consistency
METASTASIS IN LIVER
o Slice of liver
o External surface: nodular
o Cut section: reveals multiple ill-
defined nodules
Variable in size
Range from 1-3 cm
With un even inter-nodular spaces
CHRONIC CALCULAR CHOLECYSTITIS
WITH INFECTED MIXED STONES
o Opened gall bladder & multiple
stones at bottom
o Gall bladder: deformed in shape,
thickened & fibrosed wall
o Lining surface: rough
o Stones: white & multi-faecated
 U20: Primary Renal Cell Carcinoma
(Hypernephroma)
U25: Papillary Transitional Cell
Carcinoma of Renal Pelvis
U26: Ulcerative Carcinoma of UB

URINARY U29: Fungating Carcinoma of Bladder

U 20, 25, 26, 29

PRIMARY RENAL CELL CARCINOMA
o Half of hugely enlarged kidney
o Neoplastic mass (occupying
upper mole)
o The mass:  capsulated &
measures 9x13 cm
o Tumour: yellowish & areas of
necrosis & haemorrhage
o Lower pole: normal renal
parenchyma

HYPERNEPHROMA
PAPILLARY TRANSITIONAL CELL
CARCINOMA OF RENAL PELVIS
o Bisected kidney with ureter
o External surface: irregular
o Cut section: revealed dilated
renal pelvis occupied with
papillary friable whitish growth
o The growth: infiltrating renal
parenchyma & extends to involve
the ureter
ULCERATIVE CARCINOMA OF URINARY BLADDER
o Segment of UB
(obtained by partial
cystectomy)
o Malignant ulcer:
measured 6cm diameter
o Ulcer: raised everted
edge, necrotic floor &
indurated base
o Near by mucosa:
smooth
FUNGATING CARCINOMA OF BLADDER
o Half of uterus (UT),
fallopian tube, 1 ovary,
cervix, vagina & UB infront
UT
o UB (U): large fungating
tumour (occupying posterior
wall)
o The tumour (T): infiltrating
the cervix T

U
 M2: Benign Nodular Prostatic
Hyperplasia
M4: Malignant testicular tumour
(seminoma)

MALE
M 2, 4
BENIGN NODULAR PROSTATIC HYPERPLASIA
o Multinodular enlarged prostate
tissue
o External surface: irregular
o Cut section: revealed
multinodulary separated by
fibrous bands & presence of
microcytes (appear whitish)
MALIGNANT TESTICULAR TUMOUR
o Bisected adult testes with
tunica albogenia
o Cut sections: shows
brownish fleshy colour that
is replaced by neoplastic
infiltration
o There is an area of
haemorrhage & necrosis
 F5: Intramural uterine leiomyoma (Fibroid)
F12: Uterine polyp & Cervical polyp
F20: Multiocular ovarian cyst
F22: Ovarian pseudomucinous Cystadenoma

FEMALE
F26: Ovarian Benign Cystic Teratoma

F 5, 12, 20, 22, 26

INTRAMURAL UTERINE
LEIOMYOMA (FIBROID)
o Uterus & cervix
o Ant longitudinal
dissection: large fibroid
tumour
o Cut section: shows
characteristics whorly pattern
UTERINE POLYP & CERVICAL POLYP
o Uterus with both tubes, cervix & upper part
of vagina
o Ant dissection of uterus: small sessile
polyp attached to fundus
o Its surface: smooth
o Pedinculated polyp: protruding from
cervical canal
o It has a smooth surface with hemorrhagic
spots
MULTILOCULAR OVARIAN CYST
o Opened ovarian cyst
o Cyst: smooth
thickened surface
o Cut section: shows
multiloculi with
transparent wall
o Its was containing
clear fluid
OVARIAN PSEUDOMUCINOUS CYSTADENOMA
o Multiocular ovarian
cyst
o Multiple cyst of
variable size
o Contain mucious
material
o Others contain
hemorrhagic material
OVARIAN BENIGN CYSTIC TERATOMA
o Ovarian cyst (10 cm in size)
o External surface: smooth but
irregular
o Cut section: reveals
multiocular cyst (multicystic)
o Solid mass: contain large cyst
o It contains sebaceous like
material & hair
 B5: Infiltrative carcinoma of breast
B7: Infiltrative carcinoma of breast
with malignant skin nodule

BREAST
B 5, 7
INFILTRATIVE CARCINOMA OF BREAST
o Slice of breast
o Covering skin
flap: shows
mammilated
surface with peau
d’ orange
appearance
o Nipple: retracted
INFILTRATIVE CARCINOMA
OF BREAST WITH
MALIGNANT SKIN NODULE
o Complete breast (removed by mastectomy
operation)
o Skin flap: peau d’orange appearance
o Nipple: retracted
o Near nipple: skin nodule (measures 3 cm in
size with whitish colour & undefined margins)
o Superior to nodule: skin ulcer
 N3: Cerebral haemorrhage in lateral
ventricle
N5: Pontine haemorrhage due to
rupture of sclerotic vessel

NERVOUS
N3, N5
CEREBRAL HEMORRHAGE
IN LATERAL VENTRICLE
o Slice of cerebral
hemisphere
o Lateral ventricle:
hemorrhagic brown
collection of clotted
blood
o The collection:
extending the 4th
ventricle LV

4th V
PONTINE HEMORRHAGE DUE
TO RUPTURE OF SCLEROTIC
VESSEL
o Slice of cerebellum
o Upper part of
pons: brownish
collection of clotted
blood (arrow)
 O1: Osteosarcoma of Femur

BONE (OSSEOUS)
O1
OSTEOSARCOMA OF THE FEMUR
o Upper part of femur
o Bone: infiltrated by ill-defined non
capsulated whitish mass
o Mass infiltrating & destroying
cortex & medullary cavity
o Mass is involving head of femur
o Areas of haemorrhage &
necrosis
 S1: Malignant ulcer of skin
S3: Subcutaneous Lipoma

SKIN
S 1, 3
MALIGNANT ULCER OF SKIN
o Skin flap infiltrated by malignant
ulcer
o Ulcer: measures 4x5 cm
o Raised everted edge, necrotic
floor & indurated base
o Areas of haemorrhage &
necrosis
SUBCUTANEOUS LIPOMA
o A mass within fibro-fatty tissue
o Measures 8x10 cm
o Embedded mass: smooth ms
surface with rounded edge (indicating
soft consistency)
o Cut section: reveal yellow colour &
greasy texture
 E5: Colloid Nodular Goiter with Hemorrhage
E11: Suprarenal Carcinoma

ENDOCRINE
E 5, 11
COLLOID NODULAR GOITER
WITH HEMORRHAGE
o Thyroid gland
o External surface: irregular &
shows thick fibrous capsule
o Cut section: reveals multiple
brownish nodules contain colloid
separated by course fibrous bands
o Multiple small dilated cyst filled
with brownish hemorrhagic material
SUPRARENAL CARCINOMA
o Right kidney & suprarenal gland
o Kidney: normal architecture
o Suprarenal gland: markedly enlarged
o Its parenchyma:
infiltrated with ill-defined
neoplastic whitish
tumour (to perform
crescent shape tumour)
o Areas of haemorrhage
& necrosis