Postoperative multiple metastasis of clear cell sarcoma-like tumor of the gastrointestinal tract in adolescent: A case report

Figure 4 Images at 13 mo, 27 mo, 32 mo, 35 mo, 39 mo, and 43 mo after surgery. A: Computed tomography 13 mo after surgery, multiple enlarged lymph nodes were seen at the root of the mesentery; B: Ultrasonography 27 mo after surgery, there was a higher echo with a clear boundary in the liver, and the internal echo was not uniform; C: Computed tomography 32 mo after surgery, there were multiple patchy and nodular low-density space-occupying lesions in the liver, the boundary was not clear, the ring was slightly enhanced, but there was no obvious enhancement in the center; D: Magnetic resonance imaging 35 mo after surgery, L3 vertebrae showed high signal intensity on turbo inversion recovery magnitude fat pressing sequence; E: Computed tomography 35 mo after surgery, the mass on the inner side of the left thigh showed inhomogeneous circular enhancement and the boundary was unclear; F: Computed tomography 39 mo after surgery, there were multiple small nodules in both lungs, the larger of which was located in the lower lobe of the left lung, with a diameter of ~1.9 cm; G: Magnetic resonance imaging 43 mo after surgery, multiple mild enhanced signals in bilateral inguinal area and adjacent iliac vessels.