case_images: PMC6076939_01
case_images: Lesion on exam under anesthesia and gross specimen during dissection.
case_images: CRIOG2018-7397121.001.jpg
case_images: PMC6076939_01_CRIOG2018-7397121.001.jpg
case_images: fig1
case_images: There was also a 0.5x1.0 cm exophytic lesion overlying the mass with serosanguinous drainage (Figure 1).
case_images: Transvaginal ultrasound. (a) Gray scale image shows a mixed echogenicity mass (arrows) with small hypoechoic cystic areas (3.0 MHz) 10 cm. (b) Color Doppler image shows minimal vascularity. Magnitude: 3 MHz.
case_images: CRIOG2018-7397121.002.jpg
case_images: PMC6076939_01_CRIOG2018-7397121.002.jpg
case_images: fig2
case_images: A pelvic ultrasound (US) was performed and showed a complex vaginal mass, inseparable from the cervix, measuring 5.1 x 3.8 x 5.4 cm (Figure 2(a)). Color Doppler demonstrated minimal peripheral vascularity (Figure 2(b)).
case_images: (a) Sagittal T2 weighted image shows a predominantly hyperintense mass (arrows) with small central areas of hypointensity. (b) On T1 weighted axial image the mass is homogeneously hypointense (arrows). (c) Sagittal contrast enhanced image demonstrates heterogeneous hyperenhancement inferiorly (dashed arrow) and absent enhancement superiorly (*). Cervix: cx.
case_images: CRIOG2018-7397121.003.jpg
case_images: PMC6076939_01_CRIOG2018-7397121.003.jpg
case_images: fig3
case_images: Magnetic resonance imaging (MRI) was subsequently performed for further characterization (Figure 3).
case_images: (a) Mesenchymal lesion with alternating hypercellular and hypocellular areas (4x magnification; hematoxylin and eosin stain). (b) Higher magnification demonstrating ovoid and spindle-shaped cells aggregated around small blood vessel (40x magnification).
case_images: CRIOG2018-7397121.004.jpg
case_images: PMC6076939_01_CRIOG2018-7397121.004.jpg
case_images: fig4
case_images: Nuclei were round or ovular with fine chromatin (Figure 4).