Williams Carole, Petignat Patrick, Belisle Annie, Drouin Pierre
CHUM, Hôpital Notre-Dame, Gynecologic Oncology Service, 1560 Sherbrooke Est, Montreal QC, H2K 4E9, Canada.
Anticancer Res. 2009 May;29(5):1591-3.
The development of a mass in a surgical scar poses a diagnostic dilemma due to similarities in appearance to hernias, abscesses, hematomas or desmoid tumors. Scar endometriosis is uncommon and malignant change within this ectopic tissue is rare.
The case of a 55-year-old woman with an isolated clear cell adenocarcinoma in an area of scar endometriosis more than 17 years after a cesarean section is presented. Initially, this tumor was thought to be a chronic abscess, but was finally diagnosed as clear cell carcinoma. This case highlights the difficulties in preoperative diagnosis as well as the poor prognosis of these tumors.
Accurate diagnosis of a lump within a scar is important to define the prognosis and treatment. Further data are needed for the management of this pathology.
手术瘢痕处出现肿物会带来诊断难题，因为其外观与疝、脓肿、血肿或硬纤维瘤相似。瘢痕子宫内膜异位症并不常见，且这种异位组织内的恶性变很少见。
本文介绍了一名55岁女性的病例，她在剖宫产术后17年以上，瘢痕子宫内膜异位症区域出现了孤立性透明细胞腺癌。最初，这个肿瘤被认为是慢性脓肿，但最终被诊断为透明细胞癌。该病例凸显了术前诊断的困难以及这些肿瘤的预后不良。
准确诊断瘢痕内的肿块对于确定预后和治疗很重要。对于这种病理情况的管理还需要更多数据。
