PMC4362007_01
Positron emission tomography-computed tomography aspect
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F1
There was no evidence of abnormal contrast enhancement [Figure 1].
Echo-endoscopic aspect
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F2
The upper digestive echo-endoscopy showed unspecific parietal gastric thickening, a small slide with perihepatic ascites and three oval-shaped hypo-echogenic and heterogeneous formations with septations and anechoic content, measuring around 10 mm [Figure 2], located between the hepatic hilum and the peripancreatic cephalic region that were punctured with 22-gauge needle.
Histologic and immunohistochemical (WT-1, cancer antigen-125 and estrogen receptor antibodies) aspect
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F3
Histologic study confirmed the diagnosis of metastatic serous cystadenocarcinoma, the immunohistochemical study indicated the gynecological tract as the primary site [Figure 3].