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A 25-year-old woman was admitted to the Department of Gynecology and Obstetrics in 39 week of pregnancy and gave birth to a healthy boy by cesarean section. The c-section was chosen after an orthopedic consultation.
The patient at the admission had no complaints but about nine months earlier she was hospitalized and her right ovary was surgically removed because of the tumor. At the time the granulosa cell tumour was diagnosed.
During ceasarean section a slightly enlarged, clinically swollen segment of the greater omentum (about 6.5 × 4 × 4 cm) was removed and surgical biopsy of the left ovary was performed.
Microscopic images of routine HE staining of the omentum samples are shown below. The tissue from left ovary was described as without pathologic changes microscopically.
The differential diagnosis of the changes visible below was supported by immunohistochemical panel.
Diagnosis (still “top secret”). Jacek Czopek1, Agata Lazar1, Sergiusz Demczuk1, Marcin Opławski2 1Department of Pathomorphology, Jagiellonian University Medical College, Krakow 2Department of Gynecology and Obstetrics with Gynecologic Oncology, Rydygier, Hospital Krakow