Cystadenocarcinoma of the abdominal wall following caesarean section: case report and review of the literature
Abstract
Objectives Endometriosis affecting surgical scars is a well-described entity that can complicate surgery involving hysterotomies. Malignant transformation is a rare event that has been reported complicating ovarian endometriosis mainly.Case A 60-year-old woman having in the past two uneventful caesarean deliveries presented with a solid lower abdominal mass. A surgical biopsy and then a radical resection of the lower half of the abdominal wall were performed, with a diagnosis of adenocarcinoma of endometrial origin. A diagnostic curettage excluded primary endometrial carcinoma. At 1 year she is NED.Conclusions This case report illustrates the carcinomatous transformation of an endometrial implant. Despite the rarity of such a diagnosis, it should be borne in mind when endometriosis in abdominal wall is suspected because an oncological resection is required.
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Clinical manifestations of abdominal wall endometriosis are often nonspecific, and patients may complain only of vague abdominal pain, a tender mass, or be asymptomatic.
“Although the diagnosis may at times be made based on clinical presentation, in many scenarios, clinical manifestations of AWE are nonspecific, and patients may complain only of vague abdominal pain, a tender mass, or they may be asymptomatic (3).”
From Abdominal wall endometriosis: differentiation from other masses using CT features (2017) · cites this paper as [3]
Cites
ENDOMETRIAL CARCINOMA OF THE OVARY, ARISING IN ENDOMETRIAL TISSUE IN THAT ORGAN
SAMPSON, J. A. (1925) · Archives of Surgery · doi:10.1001/archsurg.1925.01120100007001 · Cited by 765 · see citing works
Malignant neoplasms arising in endometriosis
Heaps, J., Rk, N., & Berek, J. (1991) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(91)90262-4 · Cited by 396 · see citing works
An Algorithm for Abdominal Wall Reconstruction
Rohrich, R. J., Lowe, J. B., Hackney, F. L., Bowman, J. L., & Hobar, P. C. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200001000-00036 · Cited by 233 · see citing works
Hitti, I. F., Glasberg, S. S., & Lubicz, S. (1990) · Gynecologic Oncology · doi:10.1016/0090-8258(90)90259-n · Cited by 129 · see citing works
Wolf, G. C., & SlNGH, K. B. (1989) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-198902000-00003 · Cited by 84 · see citing works
Primary endometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis
Petersen, V. C., Underwood, J. C. E., Wells, M. L., & Shepherd, N. A. (2002) · Histopathology · doi:10.1046/j.1365-2559.2002.01313.x · Cited by 73 · see citing works
Miller, D., Schouls, J. J., & Ehlen, T. G. (1998) · Gynecologic Oncology · doi:10.1006/gyno.1998.4989 · Cited by 68 · see citing works
Maligne Entartung einer extragenitalen Endometriose
Schnieber, D., & Wagner-Kolb, D. (1986) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-2008-1036277 · Cited by 37 · see citing works
Endometrioid carcinoma arising in a scar of caesarean section. Case report.
Markopoulos, C. J., Gogas, H., Eleftheriou, G., & Floros, D. (1996) · PubMed · Cited by 34 · see citing works
Tanos, V., & Anteby, S. O. (1994) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(94)90358-1 · Cited by 29 · see citing works
Look, K. Y. (2002) · International Journal of Gynecological Cancer · doi:10.1046/j.1525-1438.2002.01119.x · Cited by 20 · see citing works
Flagged first, then by citations
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Cesarean scar endometriosis: presentation of 198 cases and literature review
Zhang, P., Sun, Y., Zhang, C., Yang, Y., Zhang, L., Wang, N., & Xu, H. (2019) · BMC Women's Health · doi:10.1186/s12905-019-0711-8 · Cited by 146 · see citing works
Appearance of abdominal wall endometriosis on MR imaging
Busard, M. P. H., Mijatovic, V., van Kuijk, C., Hompes, P. G. A., & van Waesberghe, J. H. T. M. (2010) · European Radiology · doi:10.1007/s00330-009-1658-1 · Cited by 79 · see citing works
“Malignant degeneration has been reported, although very rare [3–6].”
BackgroundBats, A. S., Zafrani, Y., Pautier, P., Duvillard, P., & Morice, P. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.08.080 · Cited by 77 · see citing works
Transformation maligne d’une endométriose pariétale
Sergent, F., Baron, M., Le Cornec, J.-B., Scotté, M., Mace, P., & Marpeau, L. (2006) · Journal de Gynécologie Obstétrique et Biologie de la Reproduction · doi:10.1016/s0368-2315(06)76394-3 · Cited by 57 · see citing works
Mihailovici, A., Rottenstreich, M., Kovel, S., Wassermann, I., Smorgick, N., & Vaknin, Z. (2017) · Medicine · doi:10.1097/md.0000000000009136 · Cited by 56 · see citing works
Endometriosis-Associated Abdominal Wall Cancer
Taburiaux, L., Pluchino, N., Petignat, P., & Wenger, J.-M. (2015) · International Journal of Gynecological Cancer · doi:10.1097/igc.0000000000000556 · Cited by 55 · see citing works
Abdominal Wall Endometriosis: An Overlooked but Possibly Preventable Complication
Teng, C.-C., Yang, H.-M., Chen, K.-F., Yang, C.-J., Chen, L.-S., & Kuo, C.-L. (2008) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/s1028-4559(08)60053-4 · Cited by 49 · see citing works
Intramuscular Abdominal Wall Endometriosis Treated by Ultrasound-Guided Ethanol Injection
Bozkurt, M., Cil, A. S., & Bozkurt, D. K. (2014) · Clinical Medicine & Research · doi:10.3121/cmr.2013.1183 · Cited by 47 · see citing works
Abdominal wall endometriosis: differentiation from other masses using CT features
Yarmish, G., Sala, E., Goldman, D. A., Lakhman, Y., Soslow, R. A., Hricak, H., Gardner, G. J., & Vargas, H. A. (2017) · Abdominal Radiology · doi:10.1007/s00261-016-0998-y · Cited by 29 · see citing works
“malignant transformation is a rare but recognized complication [3].”
BackgroundIjichi, S., Mori, T., Suganuma, I., Yamamoto, T., Matsushima, H., Ito, F., Akiyama, M., Kusuki, I., & Kitawaki, J. (2014) · Case Reports in Obstetrics and Gynecology · doi:10.1155/2014/642483 · Cited by 27 · see citing works
Abdominal Wall Endometrioma: A Case Report and Review of the Literature
Nissotakis, C., Zouros, E., Revelos, K., & Sakorafas, G. H. (2010) · AORN Journal · doi:10.1016/j.aorn.2010.01.014 · Cited by 25 · see citing works
Da Ines, D., Bourdel, N., Charpy, C., Montoriol, P. F., Petitcolin, V., Canis, M., & Garcier, J.-M. (2011) · Acta Radiologica · doi:10.1258/ar.2011.100483 · Cited by 25 · see citing works
Liu, G., Wang, Y., Chen, Y., & Ren, F. (2021) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2021.08.006 · Cited by 25 · see citing works
Omranipour, R., & Najafi, M. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2009.09.065 · Cited by 23 · see citing works
Transformation of Abdominal Wall Endometriosis to Clear Cell Carcinoma
Ruiz, M. P., Wallace, D. L., & Connell, M. T. (2015) · Case Reports in Obstetrics and Gynecology · doi:10.1155/2015/123740 · Cited by 19 · see citing works
Malignant transformation of abdominal wall endometriosis with lymph node metastasis
Fargas Fàbregas, F., Cusidó Guimferrer, M., Tresserra Casas, F., Baulies Caballero, S., & Fábregas Xauradó, R. (2014) · Gynecologic Oncology Case Reports · doi:10.1016/j.gynor.2013.12.003 · Cited by 19 · see citing works
Drukała, Z., Ciborowska-Zielińska, B., Kubrak, J., & Rogowska, D. (2010) · Reports of Practical Oncology & Radiotherapy · doi:10.1016/j.rpor.2010.03.002 · Cited by 12 · see citing works
Incisional carcinoma of Mullerian Origin: A case report and review of literature
Bedell, S., Chang, Z., Burt, C., Khalifa, M. A., & Argenta, P. A. (2020) · Gynecologic Oncology Reports · doi:10.1016/j.gore.2020.100588 · Cited by 10 · see citing works
Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review
Alaert, J., Lancelle, M., Timmermans, M., Tanos, P., Nisolle, M., & Karampelas, S. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13082282 · Cited by 9 · see citing works
“It can be primary (umbilical endometriosis) or secondary (after trauma or surgery, known as scar endometriosis) and it is mainly found in incision scars and the umbilicus [12].”
Background
- Authors
- Matter, M., Schneider, N., & McKee, T.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Matter, Maurice
- Venue
- Gynecologic Oncology
- Publisher
- Elsevier BV
- Published
- 2003-11
- Volume
- 91
- Issue
- 2
- Pages
- 438-443
- ISSN
- 0090-8258 (ISSN-L)
- OpenAlex
- W2042227870
- Cited by
- 47
- References
- 11
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 2
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gynecologic Oncology (publishedVersion)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Metastasis and carcinoma case studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- cystadenocarcinoma, abdominal wall, cesarean section, endometriosis, endometriotic implants, malignant transformation, postoperative scarring, radical resection, endometrioma
- MeSH terms
- Abdominal Neoplasms, Cell Transformation, Neoplastic, Cesarean Section, Cystadenocarcinoma, Female, Humans, Middle Aged, Endometrial Neoplasms, Abdominal Wall
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