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Figure 1: (A) Preoperative clinical picture of abdomen showing a large lesion just below the xiphisternum. (B) Abdominal contrast-enhanced computed tomography image shows a 4.8 cm × 3.7 cm × 4.4 cm well-defined, lobulated, subcutaneous soft-tissue lesion with heterogeneous attenuation and no intra-abdominal extension. (C) Microphotograph panel (a) smear showing clusters of tumor cells with hyperchromatic nuclei and scant-to-moderate cytoplasm. (MGG, ×200) (b) Cell block showing similar tumor cells in the glandular pattern (H and E, ×200). (c and d) Positive immunocytochemical staining for SALL4 and alfa fetoprotein, respectively. (D) Postchemotherapy photograph showing the reduction in size of the tumor. (E) Intraoperative photograph shows excised tumor and midline defect with preperitoneal fat covering intra-abdominal structures

Figure 1: (A) Preoperative clinical picture of abdomen showing a large lesion just below the xiphisternum. (B) Abdominal contrast-enhanced computed tomography image shows a 4.8 cm × 3.7 cm × 4.4 cm well-defined, lobulated, subcutaneous soft-tissue lesion with heterogeneous attenuation and no intra-abdominal extension. (C) Microphotograph panel (a) smear showing clusters of tumor cells with hyperchromatic nuclei and scant-to-moderate cytoplasm. (MGG, ×200) (b) Cell block showing similar tumor cells in the glandular pattern (H and E, ×200). (c and d) Positive immunocytochemical staining for SALL4 and alfa fetoprotein, respectively. (D) Postchemotherapy photograph showing the reduction in size of the tumor. (E) Intraoperative photograph shows excised tumor and midline defect with preperitoneal fat covering intra-abdominal structures