PMC4246679_01
Transvaginal ultrasonography: A 6.5-mm solid mass is seen inside the cystic tumor in the left adnexa uteri (arrowhead).
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However, a 28-mm cystic tumor (Fig. 1), containing a 6.5-mm, solid mass (Fig. 2), was observed in the left uterine appendage.
Laparoscopic findings: A swollen ampulla of the left fallopian tube is seen on the left side of the forceps (arrowhead). The left ovary is seen on the right side of the forceps.
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However, a 28-mm cystic tumor (Fig. 1), containing a 6.5-mm, solid mass (Fig. 2), was observed in the left uterine appendage.
Macroscopic findings of the excised tumor: Inside the excised cystic tumor, a 20-mm, fetus-like solid mass is seen.
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Swelling of the left fallopian tube ampulla was confirmed during surgery (Fig. 3), and with a diagnosis of ampullary tubal pregnancy, linear salpingostomy and evisceration were performed.
Microscopic view of the papillary adenofibroma of the left fallopian tube (hematoxylin and eosin staining, x50).
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A 20-mm, fetus-like, solid tumor was observed inside the cystic tumor (Fig. 4). Chorionic villi were not seen macroscopically in the resected mass. (Fig. 4).