PMC4576780_01
Hysterectomy with bilateral salpingo-oophorectomy, pelvic peritonectomy, pelvic and paraaortic lymphadenectomy.
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We performed a total abdominal hysterectomy with bilateral salpingo-oophorectomy, pelvic peritonectomy, total omentectomy, pelvic, para-aortic and interiliac lymphadenectomy (Fig. 1), concluding by suboptimal debulking with residual masses up to 1 cm on the right diaphragm, near the suprahepatic veins.
Primary ovarian tumor 25X HE.. Star - Tumoral deposit on the ovarian surface.. Arrow- Tumoral lymphatic embolus.
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Histological examination revealed a micropapillary serous ovarian carcinoma, Silverberg grade 3 (Fig. 2, Fig. 3a,b,c,d).
Multiple skin metastasis on the anterior chest (including bilateral breast skin), lower abdomen, vulva and the upper part of the lower limbs.
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Skin metastasis 25X HE.. Star - Epiderma.. Arrow - Dermis metastasis.
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