PMC6344208_01
Ultrasonographic image showing inhomogenous echoes in the vagina (A, B).
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F1
The results revealed inhomogeneous echoes of the muscular layer in the middle and distal area of the vagina, and a slightly richer blood flow signal (RI = 0.64, Fig. 1) was probed at the same site (Fig. 1).
PET-CT scans of the lesion in the vagina (A: PET, B: CT) and the osteolytic lesions in the 10th thoracic vertebra (C: PET, D: CT). PET-CT, Positron Emission Tomography-Computed Tomography.
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F2
In addition, osteolytic lesions were found in the 10th thoracic vertebra, which was considered as bone metastasis (Fig. 2).
Hematoxylin and eosin (H&E) and immunohistochemical staining findings. H&E staining reveals the typical histological features in 40x (A) and 400x (B) microscopy. (C) Positive CK-P staining in glandular epithelial cells (200x). (D) Negative EP-CAM staining in tumor cells (200x). (E) Positive Calponin staining in myoepithelium cells (200x). (F) Positive p63 staining in myoepithelium/basal cells (200x).
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F3
Based on the pathological report, the patient was advised by clinical doctors to receive chemoradiotherapy (Fig. 3).