Papillary serous carcinoma arising in abdominal wall endometriosis treated with neoadjuvant chemotherapy and surgery.
Open accessAbstract
Objective To report a case of malignant transformation of abdominal wall endometriosis.Design Case report.Setting Private practice.Patient(s) A 59-year-old woman with a rapidly growing abdominal wall mass.Intervention(s) Neoadjuvant chemotherapy and surgical resection of the mass.Main outcome measure(s) Shrinkage of the tumor after neoadjuvant chemotherapy and wide excision and reconstruction of abdominal wall.Result(s) A 59-year-old woman had a history of laparotomy performed for uterine perforation due to dilatation and curettage 20 years ago. She noticed a mass in her abdominal wall shortly after the operation, which changed in size with menstrual cycles. The mass showed a rapid growth in the last 6 months before presentation. Incisional biopsy revealed papillary serous carcinoma. Owing to the large size of the mass, the patient received neoadjuvant chemotherapy and underwent surgery after shrinkage of the mass.Conclusion(s) Malignant transformation of endometriosis is a rare event. In case of huge tumors, neoadjuvant chemotherapy might facilitate surgery by shrinking the tumor.
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Some patients present with cyclic pain during menstruations, which strongly suggests the presence of endometriotic implants.
“The clinical context may be relevant, as some patients present with cyclic pain during menstruations, which strongly suggests the presence of endometriotic implants [28,29].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [29]
The Case Report says the patient's abdominal wall mass changed size with her menstrual cycles, and the Discussion says this change contributed to the authors' presumption of endometriosis. The paper does not report cyclic pain, and the diagnosis of endometriosis was not confirmed. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMalignant degeneration of AWE has been reported.
“as malignant degeneration has been reported.7”
From Incidental Abdominal Wall Endometriosis in Plastic Surgery: Two Cases and Review of the Literature (2024) · cites this paper as [7]
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References 15 · Cited by 23
Research works printed but not linked: 5
- [1]1. Stenchever MA, Droegemueller W, Herbst AL. Com- prehensive Gynecology. St Louis: Mosby, 2001.
- [3]3. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometrio- mas. Am J Surg 2003;185:596-8.
- [4]4. Zhao X, Lang J, Leng J, Liu Z, Sun D, Zhu L. Abdom- inal wall endometriomas. Int J Gynaecol Obstet 2005;90:218-22.
- [8]8. Koninckx PR, Muyldermans M, Moerman P, Meuleman C, Deprest J, Cornillie FCA. 125 concen- trations in ovarian ''chocolate'' cyst fluid can differ- entiate an endometriotic cyst from a cyst from the corpus luteum. Hum Reprod 1992;7:1314-7.
- [15]15. Sergent F, Baron M, Le Cornec JB, Scott e M, Mace P, Marpeau L. Malignant transformation of abdominal wall endometriosis: a new case report. J Gynecol Obstet Biol Reprod 2006;35:186-90.
- Authors
- Omranipour, R., & Najafi, M.
- Affiliations
- Imam Khomeini Hospital (IR)
- ORCID
- Omranipour, Ramesh
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 93
- Issue
- 4
- Pages
- 1347.e17-1347.e18
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W1965196808
- Cited by
- 23
- References
- 15
- Citations by year
- 2024: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2017: 3 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- papillary serous carcinoma, abdominal wall endometriosis, malignant transformation of endometriosis, neoadjuvant chemotherapy, wide local excision, abdominal wall reconstruction, uterine perforation, dilatation and curettage, abdominal wall mass
- MeSH terms
- Abdominal Neoplasms, Carcinoma, Papillary, Endometriosis, Female, Humans, Middle Aged, Chemotherapy, Adjuvant, Abdominal Wall
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