[腹壁子宫内膜异位症引发的透明细胞腺癌]
[Clear cell adenocarcinoma arising from abdominal wall endometriosis].
作者信息
Sosa-Durán Erik Efraín, Aboharp-Hasan Ziad, Mendoza-Morales Roberto Cuauhtémoc, García-Rodríguez Francisco Mario, Jiménez-Villanueva Xicoténcatl, Peñavera-Hernández José Rafael
机构信息
Unidad de Oncología, Hospital Juárez de México, Secretaría de Salud, México, D.F. , México.
Unidad de Oncología, Hospital Juárez de México, Secretaría de Salud, México, D.F. , México.
出版信息
Cir Cir. 2016 May-Jun;84(3):245-9. doi: 10.1016/j.circir.2015.06.024. Epub 2015 Aug 11.
BACKGROUND
Clear cell carcinoma originating in the abdominal wall is a rare event. It is generally associated with endometrial tissue implants left behind after a caesarean section or other gynaecological operations. Its pathophysiology is complex and controversial.
CLINICAL CASE
The case is presented of a 45 year-old female with history of three caesarean sections, who was seen due to having a tumour mass of 6 months onset in the anterior abdominal wall. Imaging studies confirmed its location, and due to measuring 9 by 7 cm it was suspected to be an urachal tumour. A resection with wide margins was performed. The histopathology report was of a clear cell adenocarcinoma originated in ectopic endometrial tissue, with negative margins.
CONCLUSION
This is a very rare case, with few cases reported in the literature. This diagnosis should be included in tumours of the abdominal wall.
背景
起源于腹壁的透明细胞癌是一种罕见疾病。它通常与剖宫产或其他妇科手术后遗留的子宫内膜组织植入有关。其病理生理学复杂且存在争议。
临床病例
本文介绍了一名45岁女性，有三次剖宫产史，因前腹壁出现6个月的肿瘤肿块前来就诊。影像学检查确定了其位置，因其大小为9×7厘米，怀疑是脐尿管肿瘤。进行了广泛切缘的切除术。组织病理学报告显示为起源于异位子宫内膜组织的透明细胞腺癌，切缘阴性。
结论
这是一个非常罕见的病例，文献报道的病例很少。腹壁肿瘤的诊断应包括此病。
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