PMC3530409_01
CT scan with oral and rectal contrast (R) showing a pelvic mass with multiple heterogeneously enhancing soft tissue masses with central necrotic areas within pelvis not separately seen from the ovaries (EST).
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figure1
There was moderate ascites suggestive of malignant ovarian lesion with metastasis (Figures 1 and 2).
Sagittal section showing heterogeneously enhancing soft tissue lesions within omentum (OM), M- pelvic mass seen indenting bladder base (B), Bowel (B) loops are displaced upwards.
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figure2
There was moderate ascites suggestive of malignant ovarian lesion with metastasis (Figures 1 and 2).
Intraoperative omental nodular metastatic deposits (OD).
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figure3
During laparotomy, 1 L of ascites was drained, a huge, vascular omental cake with multiple nodular deposits were seen (Figure 3).
Right ovarian mass which appears nodular, breach in capsule, areas of haemorrhage (H), cystic spaces (C) and solid appearing areas (S).
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figure4
The right ovary measured 16 x 15 x 11 cm and was nodular and irregular with capsular breach (Figure 4).
metastatic deposits (D) on the descending colon (DC).
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figure5
Metastatic deposits were seen on the mesentry, peritoneum, descending colon and bladder (Figure 5).
H&E x 20: biphasic neoplasm showing both benign epithelial component and sarcomatous mesenchymal component.
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figure6
Histopathologic examination of the ovarian neoplasm and the peritoneal deposists revealed adenosarcoma of ovary (Figure 6).
Immunostain CK7x20:epithelium is positive for CK7 (brown).
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figure7
SMA, S100, and Mic2, and the epithelium was positive for CK7 and EMA (Figures 7 and 8). She was allotted Stage IIIC.
Immunostain, CD10x- Mesenchymal component is positivity for CD-10 (brown).
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figure8
SMA, S100, and Mic2, and the epithelium was positive for CK7 and EMA (Figures 7 and 8). She was allotted Stage IIIC.