case_images: PMC11720746_01
case_images: Tumor photograph (pre-operation).
case_images: IMCRJ-18-15-g0001.jpg
case_images: PMC11720746_01_IMCRJ-18-15-g0001.jpg
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case_images: The anterior rectal wall felt smooth, and no blood was on the examining glove (Figure 1).
case_images: Ultrasonoscop.
case_images: IMCRJ-18-15-g0002.jpg
case_images: PMC11720746_01_IMCRJ-18-15-g0002.jpg
case_images: f0002
case_images: Further investigations are recommended (Figure 2).
case_images: Excision specimen photograph.
case_images: IMCRJ-18-15-g0003.jpg
case_images: PMC11720746_01_IMCRJ-18-15-g0003.jpg
case_images: f0003
case_images: During surgery, the uterus, vaginal mass, and bilateral adnexa were completely removed (Figure 3).
case_images: Pathological report.
case_images: IMCRJ-18-15-g0004.jpg
case_images: PMC11720746_01_IMCRJ-18-15-g0004.jpg
case_images: f0004
case_images: Cyclin D1 (-), H-caldesmon (partially +), CD68 (histiocytes +) (Figure 4). Postoperative pelvic MRI revealed no enlarged lymph nodes in the pelvic cavity and no abnormal signals in the bladder or rectum. Considering clinical, pathological, and MRI findings, the final diagnosis for the patient was stage IB adenomyosarcoma of the uterus.