PMC1783654_01
Computer tomography (CT) scan of pelvis. a). showing normal uterus and a pelvic mass located in the area of the left adnexa. b). showing cystic mass with solid areas.
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F1
A CT scan was conducted as part of the preoperative evaluation; the scan confirmed the US findings and revealed solid areas in a cystic tumor (Figures 1a and 1b).
Gross section of the cystic lesion shows nodular area.
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F2
Internal surface comprised a multilocular mass with thin walls and mucinous material only, while a small area exhibited solid nodules in the wall (Figure 2).
Microscopically, the tumor shows transition between benign and malignant areas of the mucinous tumor (Hematoxilin and eosin stain 20x).
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F3
These epithelial areas showed transitions with intraepithelial carcinoma (Figure 3) and areas of borderline mucinous tumor; high-grade adenocarcinoma with dedifferentiation in desmoplastic stroma was identified.
PMC1783654_02
Ultrasound (US) reveals a cystic mass with solid areas in the second case.
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F4
Abdominal and pelvic US was performed, revealing a cystic mass with solid areas (Figure 4).