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A CT scan showing a pelvic mass. Arrow points to approximate midpoint of the mass, which at this point was 14 cm at the widest diameter.
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Following the finding of a RIF mass, an urgent CT thorax, abdomen and pelvis was requested which showed a 15 cm mass (Fig. 1) possibly arising from the vaginal wall and which may have had a communication with the caecum via a fistula.
The histiological results of a transvaginal ultrasound guided punch biopsy. (a) tru-cut biopsies of lymphoid tissue. (b) High magnification right showing small to intermediate sized lymphoid blasts with numerous mitotic figures (arrows).
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A transvaginal ultra-sound guided punch biopsy was taken (Fig. 2) and histological analysis plus immunohistochemistry was performed.