PMC5994710_01
Coronal cut of abdominal and pelvic CT with oral and intravenous contrast. Despite optimal CT technology with maximal intracolonic contrast the caecal cancer is no longer visible. Calcified nodules immediately adjacent to the superior mesenteric vein are shown by the arrow. A large multicystic and solid right ovarian mass is attached to the uterus.
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CT. CT did show 2 cm in greatest diameter calcified lymph nodes immediately adjacent to the superior mesenteric vein (Fig. 1). In the same CT, a pelvic mass showed a right ovary approximately 15 cm in greatest diameter (Fig. 1).
Photomicrograph of the calcified mass immediately adjacent to the primary tumor shows extensive fibrosis throughout the field of view with small infiltrating glands (black arrows) and small infiltrating glands with perineural invasion (blue arrow). The gross tumor was 2 cm in greatest dimension (Hematoxylin and Eosin stain, 10x).
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There were a small number of residual well differentiated infiltrating glandular structures (Fig. 2).
Photomicrograph of the right ovarian metastases shows abundant large infiltrating glands (black arrow) filled with necrotic debris (dirty necrosis). The gross tumor was 20 cm in greatest diameter. Both ovaries were involved by metastatic disease (Hematoxylin and Eosin stain, 10x).
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Also, photomicrographs of the ovarian tumors were produced (Fig. 3).