case_images: PMC3431108_01
case_images: (a) Gross photograph of omental tissue showing haemorrhagic, necrotic fleshy mass. (b) Gross photograph of cut section of uterus showing fleshy mass distorting uterine cavity with invasion of myometrium with areas of haemorrhage and necrosis (Red arrow), bony tissue (black arrow), and subserosal nodule (blue arrow).
case_images: CRIM2012-820378.001.jpg
case_images: PMC3431108_01_CRIM2012-820378.001.jpg
case_images: fig1
case_images: Gross examination showed a fleshy mass distorting uterine cavity with invasion of myometrium as deep as to serosal surface (Figure 1). Omental tissue also showed presence of similar type of haemorrhagic, necrotic fleshy tissue (Figure 1).
case_images: Photomicrograph showing phyllodes-like architecture on low power (H&E stain, x100).
case_images: CRIM2012-820378.002.jpg
case_images: PMC3431108_01_CRIM2012-820378.002.jpg
case_images: fig2
case_images: Histopathological examination of uterine fleshy mass showed presence of dilated and compressed glands lined by benign low cuboidal cells with focal multilayering placed in a cellular stroma composed of plump spindle cells with nuclear atypia (Figures 2 and 3).
case_images: Photomicrograph showing condensation of hypercellular stroma forming periglandular cuffs around glandular slit-like spaces (H&E stain, x200).
case_images: CRIM2012-820378.003.jpg
case_images: PMC3431108_01_CRIM2012-820378.003.jpg
case_images: fig3
case_images: Histopathological examination of uterine fleshy mass showed presence of dilated and compressed glands lined by benign low cuboidal cells with focal multilayering placed in a cellular stroma composed of plump spindle cells with nuclear atypia (Figures 2 and 3).
case_images: Photomicrograph showing areas of sarcomatous overgrowth having stromal cells displaying obvious cytologic atypia and increased mitotic figures (H&E stain, x400).
case_images: CRIM2012-820378.004.jpg
case_images: PMC3431108_01_CRIM2012-820378.004.jpg
case_images: fig4
case_images: Sections from different parts of the tumor mass showed a more cellular sarcoma with prominent pleomorphic atypical nuclear features and high rate of mitosis (more than 10/10 high power field) (Figure 4).