case_images: PMC9375555_01
case_images: Ultrasound scan showing 18/11 cm well-delimited giant cystic lesion.
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case_images: The abdomen ultrasound scan revealed an 18/11 cm big well-delimited giant cystic lesion, with septa inside, with an upper wall 18.2 mm thick and without Doppler signals (Figure 1); the tumor extends from the hypogastrium to the epigastrium and gives compression on the right ureter, resulting in right grade II hydronephrosis.
case_images: IRM examination of the pelvis, sagittal section showing a big well-delimited liquid cyst, located mid-abdominal, with a caudal wall of increased size.
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case_images: The described lesion shows contrast in the septum and caudal portion, and appears to develop from the right ovary (Figures 2 and 3).
case_images: IRM examination of the pelvis, transversal section.
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case_images: The described lesion shows contrast in the septum and caudal portion, and appears to develop from the right ovary (Figures 2 and 3).
case_images: Intraoperative laparoscopic appearance: the uterine horn is twisted, and on the right side you can see a part of the giant tumor.
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case_images: It has no adherence to the neighboring organs, it belongs to the right ovary and the right horn is twisted 180 degrees (Figure 4).
case_images: Intraoperative laparoscopic appearance: on the left side you can see the ovarian stroma preserved, and on the right side you can see the enucleated cyst.
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case_images: A puncture was performed for tumor reduction and better operative vision, and 300 mL sero-citrin liquid was extracted; then, cyst enucleation and excision were performed (Figures 5 and 6).
case_images: Macroscopic appearance of the excised cystic teratoma, where you can see deposits of sebum and hair.
case_images: IJWH-14-1047-g0006.jpg
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case_images: A puncture was performed for tumor reduction and better operative vision, and 300 mL sero-citrin liquid was extracted; then, cyst enucleation and excision were performed (Figures 5 and 6).
case_images: Intraoperative laparoscopic appearance: the left ovary with follicular cysts and the right ovarian stroma preserved.
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case_images: Considering the normally looking pelvis and absence of adenopathy, as well as the patient's age and wish to have children, both ovaries were preserved (Figure 7).
case_images: Keratinized squamous epithelium and adnexal glands (HE staining, x40).
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case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Pseudostratified epithelium and adnexal glands (HE staining, x40).
case_images: IJWH-14-1047-g0009.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0009.jpg
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case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Mature nerve tissue (HE staining, x 100).
case_images: IJWH-14-1047-g0010.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0010.jpg
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case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Intestinal wall type structure (HE staining, x 40).
case_images: IJWH-14-1047-g0011.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0011.jpg
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case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Microcystic structure with mucosecretory epithelium (HE staining, x 100).
case_images: IJWH-14-1047-g0012.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0012.jpg
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case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Siderophages (HE staining, x 200).
case_images: IJWH-14-1047-g0013.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0013.jpg
case_images: f0013
case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).
case_images: Smooth muscle fibers (HE staining, x 40).
case_images: IJWH-14-1047-g0014.jpg
case_images: PMC9375555_01_IJWH-14-1047-g0014.jpg
case_images: f0014
case_images: The microscopic examination performed after tissue staining with usual Hematoxylin- Eosin (HE) stain revealed the following types of mature tissues: connective-vascular tissue, smooth muscle fibers, microcystic structures with uni-, bi- and multilayered epithelium, nerve tissue, glandular structures, intestinal epithelium, areas with old hemorrhage and numerous siderophages, skin with appendages, stasis (Figures 8-14).