Abdominal wall endometriosis is unusual and mostly occurs in scars following Cesarean section. Although malignant transformation is rare, it must be recognized in order to benefit from radical resection. We report a very rare case of mixed endometrioid and serous carcinoma developing in a Cesarean section endometriosis scar and the way we managed it using surgery and chemotherapy. 18-FDG PET-CT imaging was performed to correctly stage the disease.
LamblinG, MathevetP, BuenerdA. Endométriose pariétale sur cicatrice abdominale. À propos de 3 observations. J Gynecol Obstet Biol Reprod1999;28:271–4
2.
RaniPR, SoundararaghavanS, RajaramP. Endometriosis in abdominal scars: review of 27 cases. Int J Gynaecol Obstet1991;36:215–8
3.
HittiIF, GlasbergSS, LubiczS. Clear cell carcinoma arising in extraovarian endometriosis: report of three cases and review of the literature. Gynecol Oncol1990;39:314–20
4.
HeapsJM, NiebergRK, BerekJS. Malignant neoplasms arising in endometriosis. Obstet Gynecol1990;75:1023–8
5.
WilliamsC, PetignatP, BelisleA, Primary abdominal wall clear cell carcinoma: case report and review of literature. Anticancer Res2009;29:1591–3
6.
MatsuoK, AlonsozanaEL, EnoML, Primary peritoneal clear cell adenocarcinoma arising in previous abdominal scar for endometriosis surgery. Arch Gynecol Obstet2009;280:637–41
7.
GücerF, ReichO, KömetterR, Endometroid carcinoma arising with a scar endometriosis. Eur J Gynaecol Oncol1997;18:42–3
8.
SampsonJA. Endometrial carcinoma of ovary arising in endometrial tissue in that organ. Arch Surg1925;10:1–12
9.
ScottR. Malignant changes in endometriosis. Obstet Gynecol1953;2:283–9
10.
BatsAS, ZafraniY, PautierP, Malignant transformation of abdominal wall endometriosis to clear cell carcinoma: case report and review of the literature. Fertil Steril2008;90:1197.e13–6
11.
SumathiVP, McCluggageWG. CD10 is useful in demonstrating endometrial stroma at ectopic sites and in confirming a diagnosis of endometriosis. J Clin Pathol2002;55:391–2
12.
MatterM, SchneiderN, McKeeT. Cystadenocarcinoma of the abdominal wall following caesarean section: case report and review of the literature. Gynecol Oncol2003;91:438–43
13.
CheneG, DarchaC, DechelotteP, Malignant degeneration of perineal endometriosis in episiotomy scar, case report and review of the literature. Int J Gynecol Cancer2007;17:709–14
14.
LorenzU, GasselAM, ThiedeA, Endometrial carcinoma recurrence in an abdominal scar 14 years after total hysterectomy. Gynecol Oncol2004;95:393–5
15.
MillerDM, SchoolsJJ, EhlenTG. Clear cell carcinoma arising in extragonadal endometriosis in a caesarean section scar during pregnancy. Gynecol Oncol1998;70:127–30