PMC5390635_01
Computed tomography of abdominopelvic region shows heterogeneous enhancing mass in left side of the pelvis 8.2 x 8.0 x 7.0 cm in diameter.
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fig1
The liver, pancreas, spleen, and bilateral kidneys appeared normal (Figure 1).
Gross examination of uterus with bilateral adnexae reveals left ovarian tumor 8.0 x 8.0 x 7.5 cm with nodular surface and a 3.0 x 3.4 x 3.4 cm thin-walled cyst at right ovary (a). Cut surfaces of left ovarian tumor show gray-white solid rubbery nodular tissues (b).
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fig2
Macroscopically, the left ovarian tumor was a solid 8.0 x 8.0 x 7.5 cm multinodular mass containing tiny cysts (Figure 2).
Microscopic examination reveals small glands within abundant dense fibrous and myxoid stroma (4x (a) and 10x (b)).
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fig3
Histologically, the tumor was composed of small glands in dense fibrous and myxoid stroma (Figure 3).
Microscopic examination shows small glands lined by bland cuboidal cells with clear cytoplasm. Mild to moderate nuclear atypia was noted. No stromal invasion was observed (40x).
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No stromal invasion was observed (Figure 4).