Fig. 2

Macroscopic findings in the surgical specimen. a The image shows gross findings in the uterus, which was resected due to placenta accreta spectrum. The white arrow indicates a white tumor measuring 3 cm in diameter, involving the lower uterine segment, which was diagnosed as endometrial carcinoma by histopathological analysis. The tumor involving the uterine fundus is not identifiable because it is covered by the placenta. b The image shows a longitudinal section of the uterus, which was divided into 7 sections. After the placenta was removed, a white tumor measuring 2 cm in diameter involving the uterine fundal segment was seen. The black arrow indicates the 3-cm diameter tumor which was endometrial carcinoma involving the lower uterine segment; the white arrow indicates the tumor involving the uterine fundus. Both tumors were soft and white, and the macroscopic findings were similar in both tumors