PMC156624_01
Computerized tomographic scan of the brain showing metastatic lesion.
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F1
A computerised tomographic scan of the brain was taken which revealed brain metastasis (figure 1) and the patient was referred to our centre.
Left Lateral decubetus x-ray of the abdomen showing free gas above the liver.
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F2
X-ray abdomen in left lateral decubitus posture showed free gas above the liver (figure 2). X-ray chest was taken which showed metastatic lesions in the lung.
Sheets of neoplastic cells in a haemorrhagic background infiltrating the wall of the intestine (H&E x 50).
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F3
Microscopic examination showed multiple nodules of a neoplasm involving the mucosa, submucosa, muscle and serosa of the small intestine (fig 3,4,5).
Cytotrophoblasts having eosinophilic cytoplasm, and vesicular nuclei admired with syncytiotrophoblasts having single and multiple hyperchewmatic nuclei (H&E x 400)
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F6
Cytotrophoblasts having eosinophilic cytoplasm and round, vesicular nuclei with nucleoli were seen admixed with syncytiotrophoblasts, in a haemorrhagic background (fig 6).