PMC6113954_01
Transvaginal sonography imaging. Hyperechogenic tumor was detected in the fundus of the uterus (arrows).
GMIT-6-42-g001.jpg
PMC6113954_01_GMIT-6-42-g001.jpg
F1
Transvaginal ultrasonography revealed a hyperechogenic tumor (25 mm in diameter) in the fundus of the uterus (Figure 1).
Transverse magnetic resonance imaging (MRI). (A) T1-weighted image. Both the right ovarian tumor and the posterior uterine myometrium tumor show high intensity. (B) Fat-suppression image. Both tumors have signal dropout due to fat.
GMIT-6-42-g002.jpg
PMC6113954_01_GMIT-6-42-g002.jpg
F2
This suggested that the ovarian tumor was a mature cystic teratoma (Figure 2).
Gross findings of the surgically resected uterus (posterior uterine view). A yellowish 25-mm tumor is present within the uterine posterior wall.
GMIT-6-42-g003.jpg
PMC6113954_01_GMIT-6-42-g003.jpg
F3
The gross findings for the posterior uterine wall showed a yellow-colored soft tumor of 25 mm in diameter (Figure 3).
Microscopic image of the uterine tumor (H&E staining; original magnification x100). The pure lipoma, consisting only of mature adipocytes (with a lack of spindle-shaped smooth muscle cells or fibrous tissue) is clearly circumscribed (upper left) from the normal uterine myometrium. H&E = hematoxylin and eosin.
GMIT-6-42-g004.jpg
PMC6113954_01_GMIT-6-42-g004.jpg
F4
The tumor was clearly delineated from the normal myometrium and no smooth muscle cells or fibrous elements were seen within the tumor (Figure 4).