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Macroscopic view of the thromboembolic events. A - Gross view of the thrombus in the pelvic vessels; B - Gross view of pulmonary thromboembolism.
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Photomicrograph of thrombosis of a pelvic vein (Masson's trichrome staining: 200 X).
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Macroscopic examination of the ovarian tumor. A - Gross view of the tumor, after the abdominal cavity overture; B - Macroscopic view of the tumor external wall; C - Inner surface view with the multiple cystic formations of varying sizes; D - Cut surface of the solid nodule adhered to the cystic wall.
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At the opening of the abdominal and pelvic cavities, the left uterine adnexa were represented by a smooth cystic tumor, weighing 15 kg (Figure 3) and measuring 33 cm in its longest axis.
Macroscopic examination of the thrombosis of the pudendal plexus sample in three different regions of the plexus.
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The bilateral dissection of the deep vessels of the lower limbs failed to show thrombosis, while the exploration of the veins of the pudendal plexus (ovarian and periuterine veins) showed the presence of extensive thrombosis (Figure 4).
In A, residual papillary structure of epithelium with multilayer cores (EE: 200X, in B higher magnification EE: 1000X), with evidence of moderate nuclear atypia. In C (periodic acid-Schiff stain, 32X) and D (Alcian blue pH 2.5,100X), high amount of mucus tightly fixed to the internal surface of neoformation.
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