PMC3562058_01
Normal pre-operative chest X-ray
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figure1
Except for a haemoglobin level of 8 gm%, the remainder of the haemogram, serum biochemistry, chest X-ray (Figure 1), serum anti-HIV, and anti-HbSAg levels were normal.
Right side of picture shows normal bladder (B), white arrow denotes the mass (M) indenting the bladder, U-normal uterus, and C-normal cervix
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figure2
An ultrasound revealed the presence of a solid heterogeneous mass measuring 10.9 x 10.8 cm, with increased vascularity on colour Doppler (Figure 2).
Showing intraoperative, (Rt. Ov.) is the right ovarian tumour appearing solid in consistency and (BV) are the tortuous blood vessels supplying the tumour
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figure3
Bulky nodes were palpable along the paraaortic and iliac regions (Figure 3).
Post-operative erect abdominal X-ray showing air fluid levels under diaphragm (A), (L) liver, (D) dilated large bowel without fluid level, (F) ascitic fluid in the peritoneal cavity
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figure4
She was treated symptomatically with blood and blood products, timely paracentesis, and pleurocentesis (Figures 4 and 5).
Post-operative chest X-ray showing bilateral pleural effusion right more than left (following pleural tapping)
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figure5
She was treated symptomatically with blood and blood products, timely paracentesis, and pleurocentesis (Figures 4 and 5).
Sheets of plasmablasts with eccentric nuclei, prominent nucleoli, and abundant eosinophilic cytoplasm (H&E, 40x)
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figure6
IIC. Immunohistochemistry (IHC) was requested for appropriate categorization (Figure 6).
Following carboplatin, resolving pleural effusion with intercostal drainage tube (ICD-T) in situ and resolving ascites
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figure7
By the seventh post-chemotherapy day, the pleural fluid collection was almost nil (Figure 7).
Immunohistochemical staining with CD138 shows strong membrane positive plasmablasts (brown pigment) (20x)
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figure8
Possibilities of plasmablastic lymphoma and plasmacytoma were considered (Figure 8).