Localized endometrioid cancer in the abdominal wall with synchronous early-stage endometrial cancer
Open Access
- 27 September 2021
- journal article
- research article
- Published by Galenos Yayinevi in Journal of Turkish Society of Obstetric and Gynecology
- Vol. 18 (3), 264-266
- https://doi.org/10.4274/tjod.galenos.2021.85530
Abstract
Presented herein is the only case in literature with the synchronous development of endometrioid-type endometrium cancer and endometrioid carcinoma originating from the endometriosis foci in a scar tissue. A 44-year-old female patient presented with complaints of abnormal uterine bleeding, swelling at the rectus muscle level in the abdominal wall, and cyclic pain close to the old cesarean section incision scar. Pathological findings of the rectus muscle and endometrial biopsies revealed endometrioid adenocarcinoma (grades 2 and 1, respectively). Positron emission tomography, performed for primary focus investigation, revealed pathologic fluorodeoxyglucose uptake in the uterine cavity and biopsy site, consistent with residual tumor without any pathologic uptake elsewhere. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and systematic pelvic and para-aortic lymphadenectomy, and the residual tumor in the left rectus muscle was excised. The patient was followed up for 3 years. At a postoperative follow-up in the 4th year, no relapsed tumor or metastasis was seen on imaging.Keywords
This publication has 9 references indexed in Scilit:
- Endometrioid Carcinoma Arising from an Endometriosis-Associated Abdominal Wall ScarThe American Journal of Case Reports, 2020
- Cesarean scar endometriosis: presentation of 198 cases and literature reviewBMC Women's Health, 2019
- Endometriosis-associated malignant transformation in abdominal surgical scarMedicine, 2017
- Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 YearsRBGO Gynecology & Obstetrics, 2017
- Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literatureGynecologic Oncology Reports, 2017
- Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall EndometriosisJournal of Minimally Invasive Gynecology, 2017
- Endometriosis-Associated Abdominal Wall Cancer: A Poor Prognosis?International Journal of Gynecologic Cancer, 2015
- The CARE guidelines: consensus-based clinical case report guideline developmentJournal of Clinical Epidemiology, 2014
- A retrospective review of abdominal wall endometriosis in Shanghai, ChinaInternational Journal of Gynecology & Obstetrics, 2013