Advanced ovarian cancer imitating deep infiltrating endometriosis. Radical resection and reconstructive surgery of the anterior abdominal wall

Stec P, Patrycja Stec, Anna Rygula, Anna Ryguła, Rygula A, Marcin Jędryka, Rafał Matkowski, Piotr Lepka
Ginekologia polska · 2022 · vol. 94(6) , pp. 507–508 · doi:10.5603/gp.a2022.0074 · PMID:35984343 · W4292361870
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case study describes a 36-year-old patient initially diagnosed with extensive endometriosis but found to have advanced low-grade serous ovarian cancer requiring radical resection and anterior abdominal wall reconstruction.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

The paper describes a single 36-year-old patient whose initial presentation was diagnosed as extensive endometriosis involving the anterior abdominal wall and pelvis, but biopsy subsequently established advanced low-grade serous ovarian cancer. The authors report the diagnostic approach and the surgical management, including radical resection and reconstructive surgery of the anterior abdominal wall. As a case report, the primary limitation is that the findings cannot be generalized beyond this individual patient. This paper is centrally about endometriosis — it presents advanced ovarian cancer that imitated deep infiltrating endometriosis, with diagnostic clarification and detailed surgical treatment.

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Abstract

Endometriosis is a disease affecting approximately 10-15% of the female population of reproductive age [1]. A rare location is endometriosis in the scar after caesarean section - CSE (caesarean scar endometriosis) accounting for 0.5-1.0 % of all cases. Although endometriosis is usually a benign condition, its malignant transformation affects 0.7-1% of cases. In women diagnosed with ovarian cancer, foci of endometriosis are present in up to 30% of patients. This paper presents the case of a 36-year-old patient initially diagnosed with extensive endometriosis involving the anterior abdominal wall and the pelvis minor. After biopsy, a diagnosis of advanced low-grade serous ovarian cancer was established. The diagnostic methods used and the extent of surgery with reconstruction of the anterior abdominal wall were described.
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Abstract

Endometriosis is a disease affecting approximately 10–15% of the female population of reproductive age [1]. A rare location is endometriosis in the scar after caesarean section — CSE (caesarean scar endometriosis) accounting for 0.5–1.0 % of all cases. Although endometriosis is usually a benign condition, its malignant transformation affects 0.7–1% of cases. In women diagnosed with ovarian cancer, foci of endometriosis are present in up to 30% of patients. This paper presents the case of a 36-year-old patient initially diagnosed with extensive endometriosis involving the anterior abdominal wall and the pelvis minor. After biopsy, a diagnosis of advanced low-grade serous ovarian cancer was established. The diagnostic methods used and the extent of surgery with reconstruction of the anterior abdominal wall were described.

Keywords

endometriosisovarian cancersurgical treatment

References

- Mehedintu C, Plotogea MM, Ionescu S, et al. Endometriosis still a challenge. J Med Life. 2014; 15(7): 349–357. - Kobayashi H, Sumimoto K, Moniwa N. Risk of developing ovarian cancer among women with ovarian endometrioma: a cohort study in Shizuoka, Japan . Int J Gynecol Cancer. 2007; 17(1): 37–43. - Ijichi S, Mori T, Suganuma I, et al. Clear cell carcinoma arising from cesarean section scar endometriosis: case report and review of the literature. Case Rep Obstet Gynecol. 2014; 2014: 642483. - Krawczyk N, Banys-Paluchowski M, Schmidt D, et al. Endometriosis-associated Malignancy. Geburtshilfe Frauenheilkd. 2016; 76(2): 176–181. - Grabowski JP, Harter P, Heitz F, et al. Operability and chemotherapy responsiveness in advanced low-grade serous ovarian cancer. An analysis of the AGO Study Group metadatabase. Gynecol Oncol. 2016; 140(3): 457–462.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall

Citation neighborhood (sparse)

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Cites (4)

References (6)

Source provenance

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