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Histopathological phenotype of MCN-like lesions. (A) Multilocular cysts showing serrated cystic lumen and focal thickened wall. (B) High-power view of cyst in panel A reveals dense ovarian-like stroma, and cuboidal epithelium that lacks abundant mucin production. (C) The ovarian-like stoma is immunohistochemically negative for wide-spectrum keratin (C), whereas these cells are positive for α-smooth muscle actin (α-SMA) (D), ER (E), and PR (F).
