PMC6010956_01
Nodules of the left-anterior abdominal wall.
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A 36-year-old female was admitted to our Institution for elective laparotomy after a follow-up MRI reported disease recurrence, with appearance of two oval nodules (6 cm and 5 cm respectively), located subcutaneously in the left-anterior abdominal wall (Fig. 1); three nodules (2 cm) behind them, one nodule (2 cm) strictly adherent to the left ovary, two nodules (1 cm) behind the cervix uteri, one nodule (1 cm) below the cecum and several small nodules in the greater omentum.
Nodule of the sigmoid peritoneal surface.
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At laparotomy, multiple grey nodules (Figs. 2 and 4 ), varying in size between 2 mm and 2 cm, were found on the surface of right and left ovary, uterus, cecum, sigmoid colon and greater omentum.
Two large nodules of the anterior abdominal wall and the two nodules once removed.
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Another two bigger nodules, about 6 cm and 5 cm of diameter respectively, were founded in the left-anterior abdominal wall, below a previous laparoscopic incision, and carefully excised (Fig. 3).
Multiple subserosal nodules (arrows) of the colic wall.
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At laparotomy, multiple grey nodules (Figs. 2 and 4 ), varying in size between 2 mm and 2 cm, were found on the surface of right and left ovary, uterus, cecum, sigmoid colon and greater omentum.
Histological appearance of LPD tumor from peritoneal implants. (A) Low-power haematoxylin-eosin (H&E). (B) High-power H&E. (C) Progesterone receptor immunostaining. (D) Desmin immunostaining.
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Proliferation index (Ki-67) was about 1% (Fig. 5).