FIGURE 12.

Bilateral ovarian granulosa cell tumour with metastatic deposits. Axial contrast enhanced CT image (a) of the abdomen in a 45-year-old female reveals multiple heterogeneously enhancing predominantly solid nodular deposits in Morison’s pouch (thick white arrow) and along the lateral surface of the liver (arrowhead). Axial section in the pelvis (b) reveals heterogeneously enhancing, predominantly solid masses in both ovaries (asterisk) along with a nodular deposit in the mesentery (thin white arrow). Sagittal reformatted CT image on bone window (c) shows a fracture and collapse of the L2 vertebral body (short thick white arrow), likely a pathological fracture related to metastases. Photomicrograph of the histopathological specimen (d) of the mesenteric lesion [H & E stain] reveals scattered and clustered round plasmacytoid cells with central to eccentrically placed nuclei and a prominent microfollicular pattern. Some of the follicles show central pinkish material (Call–Exner bodies) and moderate focal pleomorphism.