PMC3895845_01
Pelvic magnetic resonance imaging. An axial T2-weighted image:of a 60-year-old woman presenting with an ovarian tumor:revealed a cystic mass with solid portions.
1757-2215-7-5-1.jpg
PMC3895845_01_1757-2215-7-5-1.jpg
F1
Abdominal ultrasonography and magnetic resonance imaging (MRI) revealed a pelvic mass with solid components and a 20-cm left ovarian tumor, respectively (Figure 1).
Abdominal computed tomography(CT)and magnetic resonance imaging. (a) Contrast enhanced CT and (b) fat-suppression T2-weighted images revealed a mass extending through the right adrenal vein into the inferior vena cava (IVC). Arrows designate the IVC tumor thrombus.
1757-2215-7-5-2.jpg
PMC3895845_01_1757-2215-7-5-2.jpg
F2
Computed tomography (CT) and MRI revealed a 9-cm mass extending through the right adrenal vein into the IVC (Figure 2a, 2b).
Macroscopic findings. Macroscopically, the right adrenal mass had a cream-colored appearance with hemorrhagic areas. The mass extended through the adrenal vein and into the inferior vena cava. Identifiable bright yellow adrenal cortical tissue was notably stretched over the mass. The arrowhead designates the tumor thrombus.
1757-2215-7-5-3.jpg
PMC3895845_01_1757-2215-7-5-3.jpg
F3
Macroscopic observations revealed that the tumor thrombus, which had extended through the adrenal venous system, was removed intact (Figure 3).
Histopathological findings. (a) Histopathological examination (hematoxylin and eosin staining) revealed a clear cell carcinoma in the ovarian tumor (magnification, 200x). (b) A clear cell carcinoma similar to that of the primary ovarian carcinoma was confirmed in the adrenal tumor (magnification 200x).
1757-2215-7-5-4.jpg
PMC3895845_01_1757-2215-7-5-4.jpg
F4
Histopathological examination revealed that the left ovarian tumor was a clear cell carcinoma (Figure 4a). Microscopic examination revealed clear cell carcinoma metastases with a tumor thrombus in the right adrenal gland (Figure 4b).