Clear Cell Adenocarcinoma Arising from Endometriosis in the Groin: Wide Resection and Reconstruction with a Fascia Lata Tensor Muscle Skin Flap

Shozo Yoshida, Akira Onogi, Masamitsu Kuwahara, Tomoko Uchiyama, Hiroshi Kobayashi
Case reports in obstetrics and gynecology · 2018 · vol. 2018(1) , pp. 2139595 · doi:10.1155/2018/2139595 · PMID:29805826 · W2795098007
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Abstract

We herein report a case of clear cell carcinoma arising from endometriosis in the groin in a 53‐year‐old woman. The findings of MRI and FDG/PET‐CT indicated a malignant tumor, and surgical biopsy confirmed adenocarcinoma of the female genital tract. The tumor including a part of the abdominal rectus muscle and rectus sheath, subcutaneous fat, skin, and the right inguinal ligament was resected en bloc . The defect in the abdominal wall was reconstructed with a fascia lata tensor muscle skin flap. The tumor was composed of clear cell adenocarcinoma arising from extrapelvic endometriosis. The patient received chemotherapy with gemcitabine and carboplatin for 6 cycles and had no evidence of recurrence 7 months after the treatment. We herein described the diagnosis and surgical management of endometriosis‐associated carcinoma in the groin.

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endometriosis

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