PMC5847045_01
Abdominal pelvic ultrasound in longitudinal section Heterogeneous mass behind uterus with 4 centimeters of biggest diameter
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The ovaries were not visualized (Figure 1).
Pelvic MRI T2, image located in the left side of the uterus measuring 08 cm with dual component solid and cystic
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The uterus is normal size and appearance (Figure 2). The biological assessment of the patient objectified that the determination of CA-125 increased.
Surgical specimen
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The uterus has a normal size; the left ovary is the sit of a cyst measuring three centimetres with thin wall, containing a liquid nutrunner.The surgical treatment consisted of a total hysterectomy with bilateral oophorectomy (Figure 3), omental and peritoneal biopsies and cytology collection of ascites.
HES X 10, adenocarcinoma infiltrating the tubal wall until the sub serosa
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The histological examination was in favour of a serous adenocarcinoma of the two fallopian tubes, stage IIa according to the FIGO classification (Figure 4), infiltrating the right uterine horn.