case_images: PMC11803231_01
case_images: Images of the patient.. A: MRI, T1-weighted image. Sausage-shaped fallopian tube present.. B: MRI, T2-weighted image. Cystic lesion present ventral and cranial to the uterus.. C: CT, fluid accumulation present on the left side of the sigmoid colon.. D: CT, increased fluid accumulation on the left side of the sigmoid colon, with gas present internally.. E: CT, mass formation presence at the left lower abdominal port site.
case_images: gr1.jpg
case_images: PMC11803231_02_gr1.jpg
case_images: f0005
case_images: Two months after the surgery, CT showed recurrence tumor, corresponding to the tumor excision site on the left pelvic wall (Fig. 1C). Subsequent CT scans due to acute abdominal pain a few months later showed that having known left pelvic mass making a fistula with the sigmoid colon (Fig. 1D) and abdominal mass located directly beneath the left upper abdomen laparoscopy port site. However, there was a gradual increase in Port-Site Metastasis (PSM) (Fig. 1E).
case_images: Laparoscopic images.. A: Enlarged left fallopian tube.. B: Separation of adhesions between the uterus and the fallopian tube.. C: After resection.
case_images: gr2.jpg
case_images: PMC11803231_01_gr2.jpg
case_images: f0010
case_images: It showed the left fallopian tube was enlarged and firmly adhered to the sigmoid colon, rectum, and uterus, being embedded, the right adnexa was normal (Fig. 2A). Due to strong adhesions, a partial residual portion was left in place, and tumor resection was performed to the possible extent (Fig. 2C).
case_images: PMC11803231_02
case_images: Images of the patient.. A: MRI, T1-weighted image. Sausage-shaped fallopian tube present.. B: MRI, T2-weighted image. Cystic lesion present ventral and cranial to the uterus.. C: CT, fluid accumulation present on the left side of the sigmoid colon.. D: CT, increased fluid accumulation on the left side of the sigmoid colon, with gas present internally.. E: CT, mass formation presence at the left lower abdominal port site.
case_images: gr1.jpg
case_images: PMC11803231_02_gr1.jpg
case_images: f0005
case_images: Two months after the surgery, CT showed recurrence tumor, corresponding to the tumor excision site on the left pelvic wall (Fig. 1C). Subsequent CT scans due to acute abdominal pain a few months later showed that having known left pelvic mass making a fistula with the sigmoid colon (Fig. 1D) and abdominal mass located directly beneath the left upper abdomen laparoscopy port site. However, there was a gradual increase in Port-Site Metastasis (PSM) (Fig. 1E).
case_images: Specimen and pathological images.. A: Gross image. Thickening of the fallopian tube wall is observed.. B: Initial surgical specimen, undifferentiated high-grade epithelial component, Hematoxylin-eosin(HE) stain, 100x.. C: Initial surgical specimen, fibrosarcomatous stromal component, HE stain, 100x.. D: Recurrent tumor specimen, cells similar to the primary tumor HE stain, 100x.
case_images: gr3.jpg
case_images: PMC11803231_02_gr3.jpg
case_images: f0015
case_images: One month after the surgery, pathological diagnosis revealed it to be Carcinosarcoma, with pyosalpinx, left fallopian tube (Fig. 3A). It consisted of an epithelial component composed of highly malignant cells of unclassifiable type (Fig. 3B) and a stromal component resembling fibrosarcoma (Fig. 3C). It was pathologically confirmed as a recurrent tumor (Fig. 3D).