PMC6113961_01
White miliary nodules are discovered on the surface of the left broad ligament.
GMIT-6-38-g001.jpg
PMC6113961_01_GMIT-6-38-g001.jpg
F1
During the surgery, multiple white miliary nodules were discovered on the surface of the left broad ligament (Figure 1); some were excised for histologic evaluation, which confirmed leiomyomatosis (Figures 2A-2C).
(A) Low-power field of disseminated peritoneal leiomyomatosis (DPL). (B, C) Spindle-shaped smooth muscle cells; mitotic figures are absent. (D) The surface is calretinin-positive by immunostaining (magnification: A x40, B x400, C and D x100).
GMIT-6-38-g002.jpg
PMC6113961_01_GMIT-6-38-g002.jpg
F2
During the surgery, multiple white miliary nodules were discovered on the surface of the left broad ligament (Figure 1); some were excised for histologic evaluation, which confirmed leiomyomatosis (Figures 2A-2C). The surface was calretinin-positive by immunostaining (Figure 2D), indicating that it was covered with the peritoneum; thus, DPL was diagnosed.