Endometriosis-Associated Abdominal Wall Cancer
Open accessAbstract
Objective Endometriosis-associated abdominal wall cancer (EAAWC) is rare, and few reports are available. This article provides a review of reports in the literature on the pathology, diagnosis, management, and outcome of patients with EAAWC.Method We performed a review of existing reports in the English language literature on cancer arising from abdominal wall endometriosis. MEDLINE and EMBASE searches were conducted for articles published from September 1986 to August 2014 using combinations of medical subject heading terms.Results We identified 26 articles reporting on EAAWC and added 1 patient who was treated at our institution. In all of these patients, EAAWC was described after uterine surgery (mostly cesarean section). The delay between the first surgery and the diagnosis of malignant disease was more than 20 years. Clear cell carcinoma was the most common histology, followed by endometrioid carcinoma. Death was described in 44% of women within a few months of diagnosis.Conclusions Endometriosis-associated abdominal wall cancer is rare and aggressive. It seems to be associated with cesarean section, and it shows poor prognosis. The mainstay of treatment remains extensive surgery and chemotherapy.
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Atypical endometriosis can be a precancerous state.
“These data endorse the idea that endometriosis can undergo malignant transformation rather than simply being a coexisting diagnosis, and that atypical endometriosis can be a precancerous state [17].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [17]
These data endorse the idea that endometriosis can undergo malignant transformation rather than simply being a coexisting diagnosis.
“These data endorse the idea that endometriosis can undergo malignant transformation rather than simply being a coexisting diagnosis, and that atypical endometriosis can be a precancerous state [17].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [17]
Locally advanced cancer at the time of diagnosis can explain the poor prognosis of malignant AWE.
“Locally advanced cancer at the time of diagnosis can explain the poor prognosis of malignant AWE [17].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [17]
Taburiaux et al. (2015) demonstrated a median survival time of 30 months after diagnosis of endometriosis-associated abdominal wall cancer.
“Taburiaux et al. (2015) also demonstrated a median survival time of 30 months after diagnosis of endometriosis-associated abdominal wall cancer [17].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [17]
Among reported cases, clear cell carcinoma arising in an abdominal wall incision is the most common histological type, followed by endometrioid carcinoma.
“Among reported cases, clear cell carcinoma arising in an abdominal wall incision is the most common histological type, followed by endometrioid carcinoma [21].”
From Umbilical port-site endometriosis: a case presentation and narrative review of the literature (2026) · cites this paper as [21]
Malignant transformation of peritoneal endometriosis is extremely rare.
“Malignant transformation of peritoneal endometriosis is extremely rare.”
From Umbilical port-site endometriosis: a case presentation and narrative review of the literature (2026) · cites this paper as [21]
Malignant transformation of abdominal wall endometriosis develops 21 years after initial uterine surgery, while the average age at diagnosis is 47 years.
“According to Taburiaux et al., malignant transformation of the abdominal wall endometriosis develops 21 years after initial uterine surgery, while the average age at diagnosis is 47 years [9].”
From Clear cell carcinoma arising from abdominal wall endometriosis—A report on two cases and literature review (2022) · cites this paper as [9]
The median survival time for clear cell carcinoma of the abdominal wall is approximately 30 months.
“According to Taburiaux, the median survival time is approximately 30 months [9].”
From Clear cell carcinoma arising from abdominal wall endometriosis—A report on two cases and literature review (2022) · cites this paper as [9]
Malignant transformation of scar endometriosis was reported to have a very poor prognosis.
“Malignant transformation of scar endometriosis was reported to have a very poor prognosis.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [28]
Endometriosis-associated abdominal wall cancer is a rare entity with poor prognosis.
“Endometriosis-associated abdominal wall cancer is a rare entity with poor prognosis.”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
According to a systematic review, 27 clinical cases of abdominal wall adenocarcinoma related with endometriosis are reported in literature until 2014.
“According to a systematic review, from Taburiaux et al. (2015), 27 clinical cases of abdominal wall adenocarcinoma related with endometriosis are reported in literature, until 2014.”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
The mean age of presentation of abdominal wall adenocarcinoma related with endometriosis was 47 years (range 38-60).
“The mean age of presentation was 47 years (range 38–60)”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
Endometrioid carcinoma is the second most encountered histological subtype in these cases.
“endometrioid carcinoma is the second most encountered (Taburiaux et al. 2015).”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
Abdominal wall endometriosis has also been reported in association with episiotomy, trocar scars, appendectomy, and hernia repair scars.
“although they have also been reported in association with episiotomy, trocar scars, appendectomy, and hernia repair scars (Taburiaux et al. 2015).”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
The prognosis of patients with endometriosis-associated abdominal wall cancer seems to be poor, with a median survival time of about 30 months.
“The prognosis of these patients seems to be poor; the median survival time is about 30 months (Taburiaux et al. 2015).”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
The mean time between the first gynecological surgery and the diagnosis of carcinoma was 21 years (range 8-41 years).
“the mean time between the first gynecological surgery and the diagnosis of carcinoma was 21 years (range 8–41 years)”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
In most cases, the abdominal wall lesion was large at the time of diagnosis.
“Considering the size of the lesion, in most of the cases, it was large at the time of diagnosis (Taburiaux et al. 2015).”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
Clear cell carcinoma is the histological subtype most often present in endometriosis-associated abdominal wall cancer.
“CCC is the histological subtype more often present in these cases”
From Clear cell carcinoma arising from abdominal wall endometriosis – Brief report and review of the literature (2017) · cites this paper as Taburiaux et al. 2015
Clear cell carcinoma of abdominal incision is the most common histological type, followed by endometrioid carcinoma.
“Clear cell carcinoma of abdominal incision is the most common histological type, followed by endometrioid carcinoma[16].”
From Laparoscopic umbilical trocar port site endometriosis: A case report (2020) · cites this paper as [16]
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Localized endometrioid cancer in the abdominal wall with synchronous early-stage endometrial cancer
Şahin, O., Tokgözoğlu, N., & Taşçı, T. (2021) · Journal of Turkish Society of Obstetric and Gynecology · doi:10.4274/tjod.galenos.2021.85530 · Cited by 1 · see citing works
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Abdominal Wall Scar Endometrioma.
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Umbilical port-site endometriosis: a case presentation and narrative review of the literature
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“Among reported cases, clear cell carcinoma arising in an abdominal wall incision is the most common histological type, followed by endometrioid carcinoma [21].”
Clear Cell Carcinoma Arising in a Previous Surgical Scar—A Case Report—
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Abdominal duvar endometriozisi; Retrospektif, gözlemsel bir çalışma
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¿La endometriosis de la pared abdominal es siempre una enfermedad benigna?
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Is abdominal wall endometriosis always a benign pathology?
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Clear Cell Carcinoma of the Abdominal Wall: An Aggressive Endometriosis-Associated Malignant Disease
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- Authors
- Taburiaux, L., Pluchino, N., Petignat, P., & Wenger, J.-M.
- Affiliations
- University Hospital of Geneva (CH)
- Corresponding author
- Taburiaux, Lara
- Venue
- International Journal of Gynecological Cancer
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 25
- Issue
- 9
- Pages
- 1633-1638
- ISSN
- 1048-891X (ISSN-L)
- OpenAlex
- W2409151123
- Cited by
- 55
- References
- 35
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 10 · 2020: 7 · 2019: 5 · 2018: 2 · 2017: 9 · 2016: 2
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- International Journal of Gynecological Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Keywords
- abdominal wall endometriosis, clear cell carcinoma, endometrioid carcinoma, cesarean section, delayed diagnosis, prognosis, surgical treatment, chemotherapy
- MeSH terms
- Cell Transformation, Neoplastic, Cesarean Section, Cicatrix, Endometriosis, Female, Humans, Uterus, Adenocarcinoma, Clear Cell, Carcinoma, Endometrioid, Abdominal Wall
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