PMC7012198_01
(a) M-Mode findings: enlarged uterus with inhomogeneous echogenicity. (b) Power Doppler findings: multiple anechoic areas with central and peripheral vascularization.
CRIOG2019-5231219.001.jpg
PMC7012198_01_CRIOG2019-5231219.001.jpg
fig1
Ovaries appeared normal (see Figures 1(a) and 1(b)).
Uterine tumor resembling an ovarian sex cord tumor. (a) Cords, nests, and trabeculae are seen, reminiscent of sex cord cells tumor of the ovary (H-E, 10x). (b) Positive stain for WT1 (10x). (c) Negative stain for smooth muscle actin (SMA, 10x). (d) Positive stain for CD56, a sex cord marker (10x).
CRIOG2019-5231219.002.jpg
PMC7012198_01_CRIOG2019-5231219.002.jpg
fig2
The diagnosis was uterine tumor with elements similar to the sex cords type II according to Blaustein's 2011 (UTROSCT, according to WHO) (Figure 2).
(a) Laparoscopic appearance of the vaginal vault. (b) Macroscopic aspect of the excised mass.
CRIOG2019-5231219.003.jpg
PMC7012198_01_CRIOG2019-5231219.003.jpg
fig3
A laparoscopy was performed with removal of the mass and partial infracolic omentectomy; multiple peritoneal biopsies were also taken (Figure 3(a)). Gross examination of the mass confirmed disease recurrence (Figure 3(b)).