PMC9577596_01
Intraoperative image showing the proximity of the lesion to the fallopian tubes and ovaries.
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PMC9577596_01_fped-10-1020072-g001.jpg
F1
The left and right ovaries were inspected and found to be grossly normal (Figure 1).
Intraoperative image showing the suture of the fundus and the final aspect of the uterus.
fped-10-1020072-g002.jpg
PMC9577596_01_fped-10-1020072-g002.jpg
F2
The uterine wall was then was reapproximated by double interrupted stitches in adsorbable suture (Figure 2).
Images of the specimen: (A) lateral view; (B) caudal view, including part of the uterine fundus; (C) intralesional sagittal view.
fped-10-1020072-g003.jpg
PMC9577596_01_fped-10-1020072-g003.jpg
F3
Grossly the resected specimen weighed 5,596 g (Figure 3) and measured 29.5 cm x 27 cm x 19 cm.
(A) interlacing bundles of spindle cells proliferation with (B) focus of enlarged nuclei, rare mitotic figures (black arrow) and (C) small areas of ischemic necrosis with viable perivascular elements.
fped-10-1020072-g004.jpg
PMC9577596_01_fped-10-1020072-g004.jpg
F4
Based on the WHO 2020 classification of Female genital Tumors, a definitive diagnosis of leiomyoma was achieved (Figure 4).