case_images: PMC5390635_01
case_images: Computed tomography of abdominopelvic region shows heterogeneous enhancing mass in left side of the pelvis 8.2 x 8.0 x 7.0 cm in diameter.
case_images: CRIPA2017-3860107.001.jpg
case_images: PMC5390635_01_CRIPA2017-3860107.001.jpg
case_images: fig1
case_images: The liver, pancreas, spleen, and bilateral kidneys appeared normal (Figure 1).
case_images: Gross examination of uterus with bilateral adnexae reveals left ovarian tumor 8.0 x 8.0 x 7.5 cm with nodular surface and a 3.0 x 3.4 x 3.4 cm thin-walled cyst at right ovary (a). Cut surfaces of left ovarian tumor show gray-white solid rubbery nodular tissues (b).
case_images: CRIPA2017-3860107.002.jpg
case_images: PMC5390635_01_CRIPA2017-3860107.002.jpg
case_images: fig2
case_images: Macroscopically, the left ovarian tumor was a solid 8.0 x 8.0 x 7.5 cm multinodular mass containing tiny cysts (Figure 2).
case_images: Microscopic examination reveals small glands within abundant dense fibrous and myxoid stroma (4x (a) and 10x (b)).
case_images: CRIPA2017-3860107.003.jpg
case_images: PMC5390635_01_CRIPA2017-3860107.003.jpg
case_images: fig3
case_images: Histologically, the tumor was composed of small glands in dense fibrous and myxoid stroma (Figure 3).
case_images: Microscopic examination shows small glands lined by bland cuboidal cells with clear cytoplasm. Mild to moderate nuclear atypia was noted. No stromal invasion was observed (40x).
case_images: CRIPA2017-3860107.004.jpg
case_images: PMC5390635_01_CRIPA2017-3860107.004.jpg
case_images: fig4
case_images: No stromal invasion was observed (Figure 4).