PMC5849814_01
Transverse CT scan of the abdomen before the neoadjuvant chemotherapy showing a 13 x 17 x 20 cm solid pelvi-abdominal mass.
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Tomography (CT) scan was done and showed 13 x 17 x 20 cm solid pelvi-abdominal mass (Fig. 1).
Transverse CT scan of the abdomen after the patient received the neoadjuvant chemotherapy showing reduction in the tumor size to 4.4 x 8 x 10.1 cm.
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CT scan was repeated and showed reduction in the tumor size to 4.4 x 8 x 10.1 cm with the resolution of the left-sided hydronephrosis (Fig. 2).
Histopathology and immunohistochemistry: (a) Endometrial tissue with portion of lower uterine segment and adjoining stroma. H&E stain, 100x magnification. (b) Higher magnification showing details of endometrial epithelium and stroma. H&E stain, 400x magnification. (c) Immunohistochemical staining for CD10 showing positive expression in the endometrial stromal cells. (d) Immunohistochemical staining for Estrogen Receptor (ER) showing positive expression in both endometrial mucosa and stroma endometrial stromal cells.
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But, remnant of testes with marked atrophy and tubular hyalinization with portions of viable epididymis, rete testis and vas deferens identified (Fig. 3).