The accurate identification of serosal
involvement depends on meticulous gross assessment and adequate sampling.
After an hour, 200 [micro]l of the sample was collected from the serosal
The pathologic lesions following pneumatic insufflation depend on the resultant intraluminal pressure and include serosal
hemorrhage, lacerations of the serosa and muscular coat with bulging of the mucous membrane, or complete rupture of the bowel through the serosa, muscular coat, and mucous membrane as in our case (2, 11).
The presence of cartilage in MMMT is considered a favorable prognostic factor.8 Uterine sarcoma accounts for 3-5% of all corpus uteri malignancies; undifferentiated uterine sarcomas arise from the endometrium or myometrium, lacking any resemblance to normal endometrium and may show heterologous stromal elements in the form of cartilage, bone or rhabdomyoblasts.9 In our case the hyaline cartilage nodules were mostly located deep in the myometrium, close to the serosal
surface and adjacent tissue exhibited foci of adenomyosis; the closest differential diagnosis ruminated was adenosarcoma.
Externally, on the serosal
surface, a large encapsulated and well-circumscribed tumour mass was seen measuring 9 x 9 x 7 cm.
As a result, we could only divide all the gastric cancer patients into the cT1 cT3 group and the cT4 group by the serosal
Numerous 1-2 mm yellow-tan plaques on the serosal
surfaces of the abdomen (grey arrow).
abrasions need not be repaired; however, small tears of the serosa and muscularis can be managed with a single layer of interrupted 3-0 absorbable or permanent silk suture on a tapered needle.
Factors responsible for the high rate of complications associated with esophageal surgery include the lack of serosal
layer, movement during deglutition and reverse peristalsis and an easily interrupted segmental blood supply.
The infiltration of the glandular tissue was also seen in the serosal
and the muscular layer (Fig.
A common dilemma faced by surgeons during laparotomy is whether or not to repair isolated small bowel serosal
layer was separated mechanically with forceps.