PMC8521089_01
Ct-scan showing the invaginated tract containing a 24 mm mass.
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F1
A CT scan showed moderate small bowel distention caused by an ileal intussusception containing a 24 mm mild hypodense lesion (Figure 1).
H&E, 100x magnification: Ileal submucosal spindle cell proliferation.
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F2
These findings overlapped the features of the previous cardiac neoplastic lesion, so that a diagnosis of intimal sarcoma metastatic to the ileal wall, with submucosal polipoid growth and mucosa ulceration, was made (Figures 2-4).
H&E, 200x: hypercellular proliferation composed of spindle cells with nuclear atypia and intermingled moderate amount of inflammatory cells.
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F3
These findings overlapped the features of the previous cardiac neoplastic lesion, so that a diagnosis of intimal sarcoma metastatic to the ileal wall, with submucosal polipoid growth and mucosa ulceration, was made (Figures 2-4).
MDM2, 20x: immunohistochemistry against MDM2-antibody shows diffuse and intense nuclear reaction.
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F4
These findings overlapped the features of the previous cardiac neoplastic lesion, so that a diagnosis of intimal sarcoma metastatic to the ileal wall, with submucosal polipoid growth and mucosa ulceration, was made (Figures 2-4).