Endometriosis Within the Rectus Muscle and Cesarean Scar: Analysis of 21 Cases and Assessment Potential of Malignancy

Ahmet KARAYİĞİT, Mehmet Akif Üstüner, Haluk Pulat, Cihangir Özarslan
In: Acta Oncologica Turcica · 2017 · vol. 50(3) , pp. 245–249 · doi:10.5505/aot.2017.62634 · W2802528412
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This study analyzed 21 cases of endometriosis found within the rectus muscle and cesarean scars, assessing the potential for malignancy.

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This retrospective study analyzed 21 patients who underwent surgical removal of endometriosis located in the rectus abdominis muscle or cesarean section scars between 2008 and 2015. The cohort, with a median age of 34.5 years, presented these masses as palpable and painful lesions, with imaging primarily utilizing ultrasound and occasionally MRI for further evaluation. Surgical excision proved effective with no mortality or recurrence during follow-up, although two cases involved local wound infection, leading the authors to recommend removing masses with at least a one-centimeter margin to prevent regrowth. This paper is centrally about endometriosis — specifically focusing on rare presentations within the abdominal wall and cesarean scars.

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Abstract

Giri ve Ama: Endometriozis endometrium dokusunun uterus dnda baka bir anatomik blgede bulunmasdr. En sk overlerde olmak zere batn iinde apendiksten karaciere kadar her organda
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Abstract

INTRODUCTION Endometriosis is characterized by the growth of endometrial tissue outside the uterus. Although it most frequently localized in the ovaries, it can affect every organ in the abdomen from the appendix to the liver. It is rarely seen in the cesarean scar(c/s) or rectus muscle. Herein, we report 21 case of endometriosis within the rectus muscle and cesarean scars.

Methods

Between 2008 and 2015,a total of 21 patients who were operated for the mass within the rectus muscle or cesarean scar in the abdominal wall and whose pathological result was consisted with endometriosis were retrospectively analyzed.

Results

Median age of women in the study group was 34.5(24-52). Endometriosis localisation in 11 of the patients were found on the c/s scar, in 9 of them were on the rectus abdominis muscle, and one of them was in the umblical hernia sac. Median size of the endometriosis tissue was measured as 3.4 cm (1.8-7.5 cm) in the specimens. In our study,2 of the patients were given general anesthesia while 19 of them were operated under local anesthesia. Ultrasound imaging were done in all cases and 6 patients were further evaluated using magnetic resonance imaging(MRI). No mortality was reported. As for morbidity, 2 patient had local wound infection. Study group is followed up without any recurrence reported.

Discussion

AND CONCLUSION Endometriosis cases are presented as palpable painful masses and rarely found on C/S scar or on anterior abdominal wall. Surgery is a effective treatment option. To avoid any recurrence, masses must be removed a minumum 1 cm margin. In differential diagnosis of palpable and painful masses on the abdominal wall or C/S scar in reproductive women, we should consider endometriosis.

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (15)

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