Multipanel Figure 1:
Figure 1 A: Contrast enhanced CT scan axial image showing bilateral variegated ovarian masses with heterogeneous enhancement.
Figure 1 B: Grossly, both ovarian masses were ill defined, lobulated and friable with capsular rupture. The external surface showed numerous fragmented pieces, which were soft, encephaloid, grey, glistening with areas of hemorrhage.
Figures 1 C: On cut section of the resected ovarian mass, the tumor was friable, whitish with foci of hemorrhage.
Figures 1 D: Total hysterectomy specimen showing tumor invasion of the uterine corpus (black arrow).