case_images: PMC10757842_01
case_images: (A) Gray-scale pelvic sonography displayed a mixed echogenic mass in the uterine cavity, partially invading the myometrium, with honeycomb like internal echoes. (B) Color Doppler showed that the mass was filled with abundant blood flow signals. (C) Spectrum of arteriovenous fistula was measured in pulsed-wave Doppler. (D) Pelvic MRI scan depicted heterogeneous mass in uterine cavity with hemorrhage, invading to the myometrium.
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case_images: An ultrasound examination revealed a mixed echogenic mass measuring 3.2*4.5*3.9 cm in the uterine cavity, partially invading the myometrium, with honeycomb like internal echoes ( Figure 1A ), and color Doppler showed that it was filled with abundant blood flow signals ( Figure 1B ), and the spectrum of arteriovenous fistula was measured in pulsed-wave Doppler ( Figure 1C ). Meanwhile, the pelvic MRI scan depicted heterogeneous mass measuring 3.9*4.0cm in uterine cavity with hemorrhage and invasion of the myometrium ( Figure 1D ).
case_images: (A) Microscopic image of the evacuated mole tissues. Arrow points to moderate to severe trophoblast proliferation. (B) Immunohistochemical staining of the evacuated mole tissues identified a negative stain of p57.
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case_images: Histologic examination showed moderate to severe trophoblast proliferation accompanied with edematous villi ( Figure 2A ) and immunohistochemical staining identified p57 negative ( Figure 2B ), which indicated a complete molar pregnancy.
case_images: (A) Gray-scale pelvic sonography showed a large honeycomb like mass within the uterine fundus, close to the serosa. (B) Pulsed-wave Doppler detected a high-speed, low-resistance arteriovenous fistula spectrum.
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case_images: PMC10757842_01_fonc-13-1303249-g003.jpg
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case_images: Although the hCG decreased to 26,444IU/L, ultrasound suggested honeycomb like mass filled with abundant fire-sea-like blood flow signals was seen within the uterine fundus measuring 5.3*4.8*2.7cm ( Figure 3A ). Additionally, pulsed-wave Doppler detected a high-speed, low-resistance arteriovenous fistula spectrum. ( Figure 3B ).