PMC5121993_01
CECT abdomen showing mass replacing the right ovary with nonvisualization of the uterus
JRMS-21-21-g001.jpg
PMC5121993_01_JRMS-21-21-g001.jpg
F1
Previous history revealed hysterectomy with right salpingo-oophorectomy performed 3 years back during evaluation of primary amenorrhea with right ovarian mass [Figure 1].
(a) Microphotograph showing islands of large polygonal tumor cells surrounded by lymphoid cells. The tumor cells possess clear cytoplasm and centrally placed nuclei with vesicular chromatin and prominent nucleoli. (H&E 400x) and (b) Microphotograph showing tumor cells arranged in papillary fronds having vesicular coffee bean nuclei. (H&E 100x)
JRMS-21-21-g002.jpg
PMC5121993_01_JRMS-21-21-g002.jpg
F2
Microscopy confirmed the diagnosis of dysgerminoma of the right ovary Stage I a [Figure 2a].
(a) MRI of the neck showing postoperative changes in the neck with irregular nodular soft tissue in the region of the right lobe of thyroid with subcentimeter lymph node in bilateral deep upper cervical region and (b) MRI of the pelvis showing normal-appearing left ovary with absent right ovary and uterus
JRMS-21-21-g003.jpg
PMC5121993_01_JRMS-21-21-g003.jpg
F3
Magnetic resonance imaging (MRI) of the neck and the pelvis was performed before completion; thyroidectomy revealed postoperative changes with irregular nodular soft tissue in the region of the right lobe of thyroid with subcentimeter lymph node in bilateral deep upper cervical region [Figure 3a] and left ovary was normal in appearance, measuring 2.9 cm x 4.7 cm [Figure 3b].