Malignant transformation of endometriosis in a cesarean section abdominal wall scar: a case report.
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Abstract
BACKGROUND: Endometriosis occurring in a cesarean section abdominal wall scar is reported at a rate of 0.03-0.45%. Malignant transformation of this type of endometriosis is exceptionally rare. CASE: A 51-year-old, G3P2012, Black woman presented with a lump in her cesarean section abdominal wall scar that was increasing in size. Biopsy of the mass revealed metastatic adenocarcinoma with poorly differentiated, nonmucinous ovarian primary. She received 3 cycles of neoadjuvant chemotherapy and underwent an interval debulking with the final pathology showing malignant transformation of endometriosis within her abdominal wall scar. She then completed radiotherapy to the area and is disease-free 6 months later. CONCLUSION: Our combination of neoadjuvant chemotherapy and excision of the mass with negative margins followed by adjuvant radiotherapy is a feasible treatment option.
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Cited by (13)
- Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review 2024
- Malignancies Associated with Extraovarian Endometriosis: A Literature Review 2021
- Malignant transformation of abdominal wall endometriosis: A systematic review of the epidemiology, diagnosis, treatment, and outcomes 2021
- Ultrasonography and Atypical Sites of Endometriosis 2020
- Other Locations of Deep Endometriosis 2018
- Endometriosis-associated malignant transformation in abdominal surgical scar 2017
- Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report 2017
- Serous adenocarcinoma arising from endometriosis in cesarean section abdominal wall scar: a case report and literature review. 2017
- Endometriosis-associated clear cell carcinoma arising in caesarean section scar: a case report and review of the literature 2016
- Successful pregnancy after excision of cesarean scar endometriosis with uterovesicocutaneous fistula: A rare case report 2016
- Case Report: Surgical Scar Endometriosis Following Caesarean Section 2014
- Ultrasound‐guided excision of rectus abdominis muscle endometriosis 2014
- Novel insights on the malignant transformation of endometriosis into ovarian carcinoma 2014
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