PMC4434162_01
Microscopic and immunohistochemical analysis of tissue obtained by partial pneumonectomy. A: hematoxylin and eosin stain (40 x), B: hematoxylin and eosin stain (200 x), C: estrogen receptor (200 x), D: progesterone receptor (200 x).
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Pathological examination of the partial pneumonectomy confirmed the lung metastases of ESS, and immunohistochemical examination showed positivity for estrogen receptor and progesterone receptor (Fig. 1).
Pelvic peritoneal disseminations. Occult recurrence was detected during laparoscopic exploration.
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Intraoperative findings were significant for the disseminations of tumor on the pelvic peritoneum (Fig. 2).
Disappearance of pelvic peritoneal disseminations 6 months after bilateral salpingo-oophorectomy.
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Six months after the BSO surgery, laparoscopic exploration for the assessment of castration was performed, which revealed disappearance of peritoneal disseminations (Fig. 3).