case_images: PMC3562058_01
case_images: Normal pre-operative chest X-ray
case_images: can-7-288fig1.jpg
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case_images: figure1
case_images: Except for a haemoglobin level of 8 gm%, the remainder of the haemogram, serum biochemistry, chest X-ray (Figure 1), serum anti-HIV, and anti-HbSAg levels were normal.
case_images: Right side of picture shows normal bladder (B), white arrow denotes the mass (M) indenting the bladder, U-normal uterus, and C-normal cervix
case_images: can-7-288fig2.jpg
case_images: PMC3562058_01_can-7-288fig2.jpg
case_images: figure2
case_images: An ultrasound revealed the presence of a solid heterogeneous mass measuring 10.9 x 10.8 cm, with increased vascularity on colour Doppler (Figure 2).
case_images: Showing intraoperative, (Rt. Ov.) is the right ovarian tumour appearing solid in consistency and (BV) are the tortuous blood vessels supplying the tumour
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case_images: figure3
case_images: Bulky nodes were palpable along the paraaortic and iliac regions (Figure 3).
case_images: Post-operative erect abdominal X-ray showing air fluid levels under diaphragm (A), (L) liver, (D) dilated large bowel without fluid level, (F) ascitic fluid in the peritoneal cavity
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case_images: figure4
case_images: She was treated symptomatically with blood and blood products, timely paracentesis, and pleurocentesis (Figures 4 and 5).
case_images: Post-operative chest X-ray showing bilateral pleural effusion right more than left (following pleural tapping)
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case_images: figure5
case_images: She was treated symptomatically with blood and blood products, timely paracentesis, and pleurocentesis (Figures 4 and 5).
case_images: Sheets of plasmablasts with eccentric nuclei, prominent nucleoli, and abundant eosinophilic cytoplasm (H&E, 40x)
case_images: can-7-288fig6.jpg
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case_images: figure6
case_images: IIC. Immunohistochemistry (IHC) was requested for appropriate categorization (Figure 6).
case_images: Following carboplatin, resolving pleural effusion with intercostal drainage tube (ICD-T) in situ and resolving ascites
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case_images: figure7
case_images: By the seventh post-chemotherapy day, the pleural fluid collection was almost nil (Figure 7).
case_images: Immunohistochemical staining with CD138 shows strong membrane positive plasmablasts (brown pigment) (20x)
case_images: can-7-288fig8.jpg
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case_images: figure8
case_images: Possibilities of plasmablastic lymphoma and plasmacytoma were considered (Figure 8).