case_images: PMC10482019_01
case_images: Specimen of uterus and cervix showing a large circumscribed intramural mass bulging into the endometrial cavity, cut surface of which is gray-white to gray-yellow and showed whorling
case_images: JMH-14-60-g001.jpg
case_images: PMC10482019_01_JMH-14-60-g001.jpg
case_images: jmh_158_22-f001
case_images: Cut surface was gray-white to gray-yellow and showed whorling [Figure 1].
case_images: Photomicrograph showing (a) sheets of foamy macrophages along with cholesterol clefts (H and E, x100), (b) Foam cells admixed with lymphocytes, plasma cells with smooth muscle bundles seen at the periphery (H and E, x200), inset immunohistochemistry for CD68 was strongly positive in histiocytes
case_images: JMH-14-60-g002.jpg
case_images: PMC10482019_01_JMH-14-60-g002.jpg
case_images: jmh_158_22-f002
case_images: There were multiple foci of necrosis, and infiltration by foamy macrophages (some of which were hemosiderin laden) admixed with lymphocytes, plasma cells, cholesterol clefts, and multinucleated giant cells [Figure 2]. On immunohistochemistry, histiocytes were strongly positive for CD-68 [Figure 2].