PMC5574656_01
Magnetic resonance imaging.
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figure1
In order to determine the nature, characteristics, location, and relationships of this mass, magnetic resonance imaging (MRI) was requested and this reported an image of 4 x 6 x 4 cm, located in the retrovesical and right vaginal parauterine region in contact with the posteroinferior wall of the bladder, which it deforms (Figure 1).
Dissection and resection of tumour formation.
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figure2
The lesion was dissected and resected respecting the vagina, uterus, and bladder (Figure 2).
PET. Local recurrence.
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figure3
These results were obtained due to the studies of positron emission tomography that revealed three pelvic hypermetabolic nodules (right side: 14.2 mm, left side: 14, 9 mm and 10.3 mm), with a hypermetabolic focus on the floor of the pelvis relative to the vagina, to the right of the midline, adjacent to the metallic suture clip (Figures 3 and 8).
Microscopy. Haematoxylin and eosin. 20x.
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figure4
The cells showed eosinophilic cytoplasm and mild nuclear pleomorphism (Figures 4 and 5).
Microscopy. Haematoxylin and eosin. 40x.
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figure5
The cells showed eosinophilic cytoplasm and mild nuclear pleomorphism (Figures 4 and 5).
Immunostaining. Chromogranin-A. 20x.
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figure6
Immunostaining techniques were performed for chromogranin A and synaptophysin, both markers being positive (Figures 6 and 7).
Immunostaining. Synaptophysin. 20x.
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figure7
Immunostaining techniques were performed for chromogranin A and synaptophysin, both markers being positive (Figures 6 and 7).
Haematoxylin and eosin. Nodal metastasis. 20x.
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figure8
These results were obtained due to the studies of positron emission tomography that revealed three pelvic hypermetabolic nodules (right side: 14.2 mm, left side: 14, 9 mm and 10.3 mm), with a hypermetabolic focus on the floor of the pelvis relative to the vagina, to the right of the midline, adjacent to the metallic suture clip (Figures 3 and 8).