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Figure 5. Examination of the tumor. (a) Histopathological examination showing typical interlacing fascicles of pleomorphic spindle-shaped cells with abundant mitotic figures, consistent with the diagnosis of leiomyosarcoma (hematoxylin and eosin). Immunohistochemical staining showed that most tumor cells are positive for smooth muscle actin (b) but negative for cytokeratin (c).





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