Fig. 1

(A) Computed Tomography (CT) scan showed that the right ovarian mass extending to the left. The tumor displayed a biphasic morphology composed of intimately admixed carcinoma and sarcoma. (B) Predominant component was of homologous sarcoma. (C) Focal seromucinous/endometrioid carcinomatous component was present. (D) Focal area showed features of high-grade serous carcinoma. (E) The uterine cervix with extensive lymphovascular space invasion. (F) Pelvic lymph node with metastatic carcinoma. (G) 16 months after the initial diagnosis of ovarian carcinosarcoma, the patient presented with a skin lesion in the left inner thigh. (H) High grade adenocarcinoma involving epidermis, dermis, and subcutaneous tissue with nodular contour. (I) The morphology of skin tumor was similar to that of carcinomatous component of ovarian carcinosarcoma