PMC6801628_01
MRI showed a huge mixed-sign mass in the uterine cavity considering a uterine myoma with degeneration and bleeding.
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Transvaginal B-mode ultrasonography and magnetic resonance imaging both showed a huge mixed-sign mass in the uterine cavity (Figure 1).
Uterine content was separated from the vagina by oval forceps in order to remove the whole uterus from the vagina completely.
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The uterus volume was reduced and could be removed with complete serosa (Figure 2).
(A) Rich-cell spindle cell tumors with mild heteromorphism (magnification 200x); (B) nucleus mitosis has been marked by arrows (magnification 400x); (C) coagulative necrosis has been circled (magnification 200x); (D) pelvic lymph node metastasis has been circled (magnification 200x).
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Nucleus mitosis and coagulative necrosis were found under magnification 400x and one pelvic lymph node had metastasized (Figure 3).