PMC4560155_01
Showing a large well defined mass of 9.8 x 7.4 cms along with displacement of the bowel loops
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PMC4560155_01_40792_2015_77_Fig1_HTML.jpg
Fig1
The abdominal CT revealed a large well defined mass lesion in the left hypochondrium, measuring 9.8 x 7.4 cms, causing displacement of the bowel loops (Fig. 1).
Intra operative finding of a large omental tumor in the left hypochondrium region with areas of ulceration
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Fig2
Some peri splenic and para aortic lymph nodes were present which were excised in block (Fig. 2).
H and E; 10 x 10 X shows malignant round cell tumor arranged in sheets admixed with areas of necrosis
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Fig3
Large areas of tumor necrosis are seen (Fig. 3).
Immunohistochemistry, 10 x 10 X shows tumor cells showing desmin positivity
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Fig4
Immunohistochemistry revealed strong staining for Vimentin, EMA, and desmin, thereby confirming the diagnosis for RMS (Figs. 4 and 5).
Immunohistochemistry 10 x 10 X shows tumor cells are negative for pancytokeratin
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PMC4560155_01_40792_2015_77_Fig5_HTML.jpg
Fig5
Immunohistochemistry revealed strong staining for Vimentin, EMA, and desmin, thereby confirming the diagnosis for RMS (Figs. 4 and 5).