Clinical analysis on characteristics, diagnosis and treatment of 20 cases of abdominal wall endometriosis

Objective To investigate the clinical characteristics, treatment and prevention of abdoninal wall endometriosis. Methods A retrospective study was performed on 20 cases from 2001 to 2009 in our hospital. The clinical characteristics, diagnosis, treatment and follow-up were analyzed.Results The mean interval from the surgery to presentation with mass was 27.7 months. 75％ presented with characteristic symptoms. All patients were performed with wide local excision. 84.2％ were on the comer of incision scar, 1 case on the left side of celioscope scar. The mean diameter of mass was 3.1 cm. The deeply infiltrating tissues of masses: fascia 17 cases, muscle 2 cases, peritoneum 1 case. 19 cases were routine suture and 1 case with bolster suture. Pathologic test: 19 cases were abdominal wall endometriosis and 1 case was adenocarcinoma. No recurrence was found in 1 to 3 years' follow-up after operation.Conclusions Doctors and nurses should have an overall recognization of abdominal wall endometriosis.The important thing is to pay attention to prevention, right diagnosis, timely treatment and make the disease knowledge well-known and popular to the patients. Key words: Abdominal wall endometriosis;  Diagnosis;  Treatment;  Prevention