A 48-year old female from a rural area of Kashmir (India). Para 4, presented with menorrhagia for last few years along with progressive anemia and generalized weakness. Vaginal examination revealed a bulky uterus with bilateral solid ovarian masses. Ultrasound examination revealed bilateral ovarian masses, 10 cms on the right and 6 cms on the left side with ascitis.

A- Gross: Tumors in both ovaries with uterus in midline.
B- Gross: Cut surface of tumors with a peripheral cyst (arrow).
C-D- Microscopic H&E (x10 and x20): Nests of atypical epithelioid cells.
E- Microscopic H&E (x40): Nuclear anaplasia with Mitosis

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