PMC4837254_01
Mass arising from the right round ligament.
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fig1
A 4 x 3 x 2 cm firm well-circumscribed egg-shaped mass adherent to the RL was encountered; no hernia sac was seen (Figure 1).
Medium power magnification H&E stain of round ligament leiomyoma showing spindle cells with "cigar shaped" nuclei and "herringbone" pattern often seen in smooth muscle tumors. No evidence of perinuclear vacuolization, hypercellularity, or cytological atypia.
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fig2
No evidence of perinuclear vacuolization, hypercellularity, or cytological atypia was found (Figure 2).
Immunohistochemical stain for smooth muscle desmin.
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fig3
Immunohistochemical stain for desmin later confirmed the diagnosis (Figure 3).