Hitti I F, Glasberg S S, Lubicz S
Department of Pathology, LaGuardia Hospital, Forest Hills, New York 11375.
Gynecol Oncol. 1990 Dec;39(3):314-20. doi: 10.1016/0090-8258(90)90259-n.
The literature on malignancy arising in extraovarian endometriosis comprises only three cases of clear cell carcinoma. We wish to report the clinical features and pathologic findings of an additional three cases. The first concerns a 39-year-old oriental pregnant woman who presented with a large intraluminal obstructing lesion of the sigmoid colon, the second case deals with an abdominal wall mass that appeared in a cesarean section scar of a 45-year-old black woman, and the third case describes an ulcerating lesion of the perineum and the buttock in a 43-year-old white woman with a long history of endometriosis in an episiotomy scar. Our observations support the notion that clear cell carcinoma arising in extraovarian endometriosis behaves differently from its counterpart in ovarian endometriosis, but more in line with clear cell carcinoma of the endometrium.
关于卵巢外子宫内膜异位症恶变的文献仅包含3例透明细胞癌。我们希望报告另外3例的临床特征和病理结果。第一例是一名39岁的东方孕妇，其乙状结肠腔内出现巨大阻塞性病变；第二例是一名45岁黑人女性剖宫产瘢痕处出现的腹壁肿块；第三例是一名43岁白人女性，会阴和臀部有溃疡性病变，其会阴切开术瘢痕处有子宫内膜异位症病史。我们的观察结果支持这样一种观点，即卵巢外子宫内膜异位症中发生的透明细胞癌与卵巢子宫内膜异位症中的透明细胞癌表现不同，但更类似于子宫内膜透明细胞癌。
