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CT scan ((a, b) transverse; (c) coronal view): 5 cm mass close to the tail of the pancreas and next to the left adrenal gland (arrow).
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On CT scan, a 5 cm mass was found close to the tail of the pancreas and the left adrenal gland (Figures 1(a)-1(c)).
Intraoperative findings. (a) Nodule in segment 5 of the liver. (b) The vascular pedicle of the main nodule is stapled.
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Several nodules were found in the omentum, and another nodule was found in segment 5 of the liver (Figure 2(a)), and it was assumed that these were metastatic leiomyosarcoma lesions. An Echelon stapler with a vascular load was used to divide the blood vessels (Figure 2(b)).
Histopathology shows splenic tissue in the (a) main nodule, (b) liver, (c) gastric fundus, and (d) omentum.
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Pathology revealed splenic tissue in all four specimens and no evidence for leiomyosarcoma metastases (Figures 3(a)-3(d)).