PMC2820463_01
Saggital section of CT Abdomen with Contrast. Well circumscribed RIF mass next to anterior abdominal wall.
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F1
Team (MDT) meeting and it was agreed that a repeat CT scan with contrast should be performed. The scan demonstrated a 6 x 5 cm heterogeneous mass in the RIF adjacent to the peritoneal wall (Figure 1).
Microscopic appearance of the lesion. Pronounced degenerative changes including myxoid stroma, haemorrhage, conspicuous blood vessels with hyaline thickening of walls and luminal thrombosis (H&E x20)
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F2
The spindle cells showed hyperchromatic and irregular nuclei although no mitotic figures were seen (Figures 2 and 3).
Microscopic appearance of the lesion Focal marked nuclear pleomorphism, with isolated cells having bizarre hyperchromatic nuclei (H&E x60)
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F3
The spindle cells showed hyperchromatic and irregular nuclei although no mitotic figures were seen (Figures 2 and 3).