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Fig. 2 | Journal of Medical Case Reports

Fig. 2

From: A subserosal, pedunculated, multilocular uterine leiomyoma with ovarian tumor-like morphology and histological architecture of adenomatoid tumors: a case report and review of the literature

Fig. 2

Macroscopic and microscopic findings. (ab) The macroscopic appearance of the tumor fixed in formalin. The heterogeneously brown mass had a smooth surface (a), and the cut surface had a solid, cystic, hemorrhagic appearance (b). The tumor stalk is indicated by an arrow. (cf) Microscopic findings of the hematoxylin-and-eosin-stained sections. A low-magnification figure of the cut surface of the tumor showing a solid mass with various sized irregular cystic spaces (c). The solid portion of the tumor indicated a typical leiomyoma because of the presence of the interlacing arrangement of plump spindle cells (d). Hydropic and cystic degeneration of the leiomyoma was seen (ef), including anastomosing, thin cords of the leiomyoma cells. (gh) Special staining of the degenerated portion of the tumor. No mucinous materials were seen in the cystic spaces in sections stained by periodic acid-Schiff with diastase treatment (g) and Alcian blue (h). (il) Immunohistochemical finding of the tumor. The spindle cells were positive for desmin (i), and no lining cells were positive for calretinin (j), CD34 (k), or D2-40 (l). The black bar in c represents 5 mm, and the black bars in dl represent 100 μm

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