Surgery of abdominal wall endometriosis associated with clear-cell carcinoma: Case report and review.
J Gynecol Obstet Hum Reprod
; 52(4): 102561, 2023 Apr.
Article
in En
| MEDLINE
| ID: mdl-36841330
ABSTRACT
Abdominal wall is a rare location for endometriosis, with a reported incidence of parietal endometriosis of approximately 0.03 to 0.4%. It most often occurs in the aftermath of a caesarean section and is associated with pelvic endometriosis in only 5 to 15% of cases. Rare cases of malignant transformation have been described, mainly in the form of clear-cell tumours. We report the case of a 52-year-old patient with a history of endometriosis who presented with a retractile parietal mass at the level of her caesarean scar. Histological analysis confirmed a clear-cell adenocarcinoma (CCC). Few cases of endometriosis - associated CCC are described in the literature. A review of the literature suggests radical surgical treatment combined with adjuvant radio-chemotherapy. However, the prognosis is poor. The aim of this case report is to suggest the diagnosis of malignant transformation in the presence of a rapidly evolving parietal mass in the context of endometriosis and a history of caesarean section.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Adenocarcinoma, Clear Cell
/
Abdominal Wall
/
Endometriosis
Type of study:
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Middle aged
/
Pregnancy
Language:
En
Journal:
J Gynecol Obstet Hum Reprod
Year:
2023
Document type:
Article
Affiliation country:
France