PMC9897138_01
Computed tomography scan of the abdomen and pelvis (portal phase) showing an expansive process in the anterior abdominal wall and pelvis and lymph node enlargement in the external and inguinal iliac chains.
1806-9460-spmj-136-06-586-gf1.jpg
PMC9897138_01_1806-9460-spmj-136-06-586-gf1.jpg
f1
It measured around 10.6 cm x 4.7 cm x 8.3 cm along the major transverse, anteroposterior and longitudinal axes, respectively, and was located in the anterior pelvic wall, with the largest axis to the right of the midline, involving the rectus abdominis muscle (Figure 1).
Macroscopic appearance demonstrating areas of cystic and trabecular components.
1806-9460-spmj-136-06-586-gf2.jpg
PMC9897138_01_1806-9460-spmj-136-06-586-gf2.jpg
f2
The patient underwent exploratory laparotomy by means of a Pfannenstiel incision, followed by block resection of the abdominal mass (Figure 2) with margins to the peritoneum, along with lymphadenectomy of the external and inguinal iliac chains.
Histological section of clear cell endometrioid adenocarcinoma demonstrating loss of glandular architecture and stroma (hematoxylin and eosin; x 400).
1806-9460-spmj-136-06-586-gf3.jpg
PMC9897138_01_1806-9460-spmj-136-06-586-gf3.jpg
f3
Histological analysis on the abdominal mass revealed infiltration by malignant epithelioid neoplasia into soft tissues, thus confirming the immunohistochemical profile of adenocarcinoma with clear cell components (Figure 3).