Figures

Figure 1. Pelvic computed tomography image: a large mass (arrow) occupying the pelvis, with an irregular shape and contrast enhancement is shown.

Figure 2. Macro findings of left ovarian tumor: an elastic hard yellow tumor with an uneven surface, 17 cm in diameter is shown.

Figure 3. Microscopic findings of ovarian tumor (H&E, × 200): spindle-shaped tumor cells arranged in complicated fascicles, with relatively uniform oval and spindle-shaped nuclei are shown.

Figure 4. Microscopic findings of ovarian tumor showing abnormal nuclear mitosis (H&E, × 400): Scattered mitosis was seen within the tumor (arrow). The number of mitoses was counted as more than 20 per 10 high-power fields.

Figure 5. Microscopic findings of ovarian tumor (H&E, × 200): well-defined coagulated and necrotic tissues (arrow) with various sizes are noted in the tumor.

Figure 6. Immunohistochemical staining for h-caldesmon: the tumor cytoplasm was strongly positive for h-caldesmon.