case_images: PMC4337709_01
case_images: Sectioning of the bilaterally enlarged ovaries revealed multiloculated cysts containing clear serous fluid.. Notes: Microscopically, there were numerous follicle-like cysts (A) that were lined by stratified layers of granulosa cells (B). The ovaries also showed edematous stroma (C and D).
case_images: tacg-8-069Fig1.jpg
case_images: PMC4337709_01_tacg-8-069Fig1.jpg
case_images: f1-tacg-8-069
case_images: The pathology revealed bilateral cystic granulosa cell tumors of the ovaries (Figure 1), as well as a uterine atypical smooth muscle tumor of uncertain malignant potential (Figure 2).
case_images: The uterus had multiple intramural leiomyomas.. Notes: The largest leiomyoma observed microscopically was 4 cm (A); the leiomyomas had foci of moderate to severe cytologic atypia (B), areas of necrosis that were equivocal for coagulative tumor cell necrosis (C), and scattered mitoses (One to three mitotic figures/ten HPFs) (D), the arrow denotes a mitotic figure.. Abbreviation: HPF, high-powered field.
case_images: tacg-8-069Fig2.jpg
case_images: PMC4337709_01_tacg-8-069Fig2.jpg
case_images: f2-tacg-8-069
case_images: The pathology revealed bilateral cystic granulosa cell tumors of the ovaries (Figure 1), as well as a uterine atypical smooth muscle tumor of uncertain malignant potential (Figure 2).