Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website http://www.jcgo.org

Case Report

Volume 7, Number 1, March 2018, pages 26-29


Case Report of a Primary Ovarian Leiomyosarcoma Diagnosed by H-Caldesmon Staining

Figures

Figure 1.
Figure 1. Pelvic computed tomography image: a large mass (arrow) occupying the pelvis, with an irregular shape and contrast enhancement is shown.
Figure 2.
Figure 2. Macro findings of left ovarian tumor: an elastic hard yellow tumor with an uneven surface, 17 cm in diameter is shown.
Figure 3.
Figure 3. Microscopic findings of ovarian tumor (H&E, × 200): spindle-shaped tumor cells arranged in complicated fascicles, with relatively uniform oval and spindle-shaped nuclei are shown.
Figure 4.
Figure 4. Microscopic findings of ovarian tumor showing abnormal nuclear mitosis (H&E, × 400): Scattered mitosis was seen within the tumor (arrow). The number of mitoses was counted as more than 20 per 10 high-power fields.
Figure 5.
Figure 5. Microscopic findings of ovarian tumor (H&E, × 200): well-defined coagulated and necrotic tissues (arrow) with various sizes are noted in the tumor.
Figure 6.
Figure 6. Immunohistochemical staining for h-caldesmon: the tumor cytoplasm was strongly positive for h-caldesmon.