case_images: PMC11349547_01
case_images: (A-D) Magnetic resonance imaging. The left posterior cervical tubercle is seen on a T1-weighted image (T1WI) with a slightly low signal, T2-weighted fat suppression (T2-FS) image with high and low mixed signals, and on diffusion-weighted imaging (DWI) with partially limited diffusion, showing enhancement after noticeable inhomogeneous enhancement, and visible snake vascular signs.
case_images: fmed-11-1456221-g001.jpg
case_images: PMC11349547_01_fmed-11-1456221-g001.jpg
case_images: fig1
case_images: Notably, enlarged pelvic lymph nodes were not observed (Figure 1).
case_images: Histological findings. Adenocarcinoma can be seen on the vaginal wall with its typical morphological findings (A, x50; B, x100).
case_images: fmed-11-1456221-g002.jpg
case_images: PMC11349547_01_fmed-11-1456221-g002.jpg
case_images: fig2
case_images: Excision of the vaginal wall yielded negative results (Figures 2A-C).
case_images: Histological findings. The tumor cells in the cervix exhibited oval to spindle-shaped morphology with patternless proliferative manifestations and prominent branching, thin-walled hemangiopericytoma vessels (A, x50; B, x100; C, x400). Immunohistochemical staining revealed strong expression of CD99 (D, x100), BCL-2 (E, x100), and CD34 (F, x100).
case_images: fmed-11-1456221-g003.jpg
case_images: PMC11349547_01_fmed-11-1456221-g003.jpg
case_images: fig3
case_images: Moreover, the SFT tumor cells were positive for CD99 and Bcl-2 (Figures 3D-F).