On exploratory laparotomy, there was an encapsulated, bosselated
, irregular mass, 15x13x12 cm in size and with restricted mobility.
In our case the spleen was misshapen grossly due to bosselated
surface caused by bulging nodules and the cut surface was studded with numerous cysts of various sizes scattered throughout.
A papillary configuration may be appreciated in larger lesions, although they are more frequently bosselated
On examination, there was a 6x4 cm nontender bosselated
firm swelling over the dorsal and medial aspects of the first toe and the adjoining web space.
Myxomas are thought to derive from multipotential mesenchymal cells, and have a variable macroscopic appearance ranging from soft and friable to smooth and bosselated
The tumour arises from the cortex as a protruding mass with a rounded bosselated
usually brownish surface.
On panoramic radiographs, small tori palatini are not well demonstrated owing to overlying bony structures; larger tori can be easily detected with a bosselated
or multi-lobulated appearance.
Examination revealed a bosselated
, nonulcerated, 2-cm mass of the uvula.
Computed tomography showed a large lobulated solid cystic 5x9 cm mass in right adnexa which was well defined, bosselated
and had hyper vascular enhancement with fatty component and calcific foci suggestive of a teratomatous mass.
An enlarged right ovary with bosselated
outer surface and intact capsule was noted.
Many giant cell fibromas are misdiagnosed clinically as papillomas due to the sometimes bosselated
(cauliflower-like) outer surface of the lesion (see figure 4).
stiedae causes proliferation of bile duct epithelial cells, affected livers contain multifocal, well-demarcated, linear, occasionally branching, bosselated
, yellow to pearl-gray lesions that reflect the course of the biliary tree.