Department of Pathology, University Teaching Hospital Farhat Hached, Sousse 4000, Tunisia.
J Oncol. 2008;2008:478325. doi: 10.1155/2008/478325. Epub 2008 Dec 21.
Endometriosis is a frequent benign disorder. Malignancy arising in extraovarian endometriosis is a rare event. A 49-year-old woman is presented with a large painful abdominal wall mass. She underwent a myomectomy, 20 years before, for uterus leiomyoma. Computed tomography suggested that this was a desmoid tumor and she underwent surgery. Histological examination showed a clear cell adenocarcinoma associated with endometriosis foci. Pelvic ultrasound, computed tomography, and endometrial curettage did not show any malignancy or endometriosis in the uterus and ovaries. Adjuvant chemotherapy was recommended, but the patient was lost to follow up. Six months later, she returned with a recurrence of the abdominal wall mass. She was given chemotherapy and then she was reoperated.
子宫内膜异位症是一种常见的良性疾病。卵巢外子宫内膜异位症恶变较为罕见。现介绍 1 例 49 岁女性，因巨大的腹壁疼痛性肿块就诊。患者 20 年前因子宫肌瘤行子宫肌瘤切除术。计算机断层扫描提示为硬纤维瘤，行手术治疗。组织学检查显示为伴有子宫内膜异位症病灶的透明细胞腺癌。盆腔超声、计算机断层扫描和子宫内膜刮宫术均未显示子宫和卵巢有任何恶性肿瘤或子宫内膜异位症。建议行辅助化疗，但患者失访。6 个月后，腹壁肿块复发。给予化疗后再次手术。
