PMC3375672_01
H+E stained sections of right ovary showing borderline serous tumor. Courtesy of Dr. Sybil Irwin, Department of Pathology, Moses Taylor Hospital, Scranton, PA.
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The final pathology confirmed a serous Borderline tumor without microinvasion or evidence of invasive carcinoma in either ovary (Figure 1).
H+E stained peripheral blood smear showing shistocytes, 100X power. (a) POD (post-operative day) #3, (b) POD#4. Courtesy of Dr. Sybil Irwin, Department of Pathology, Moses Taylor Hospital, Scranton, PA.
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The hemoglobin (Hgb) level was 8.1 g/dL (ref 12.2-16.2), prothrombin time (PT) 13.1 seconds (ref 11.7-14.7 sec), fibrinogen 550 mg/dL (ref 188-421 mg/dL), lactate dehydrogenase (LDH) 2764 U/L (ref 313-618 U/L), haptoglobin level <7 mg/dL (ref 42-312 mg/dL), and evaluation of the red cells by peripheral blood smear with 1-2 shistocytes per high-powered field (HPF) (Figure 2a). On POD#4, platelets were 67 K/uL, Hgb 8.1 g/dL, LDH 2964 U/L, with 3-5 shistocytes per HPF (Figure 2b), with D-dimer (FDP) level 2.25 ug/ml She was neurologically intact and lucid.