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腹壁恶性子宫内膜异位症

Malignant endometriosis of the abdominal wall.

作者信息

Graur Florin, Mois Emil, Elisei Radu, Furcea Luminita, Dragota Mihaela, Zaharie Toader, Al Hajjar Nadim

出版信息

Ann Ital Chir. 2017 Apr 13;6:S2239253X17026895.

Abstract

UNLABELLED

Endometriosis is a disease represented by the presence of extra uterine endometrial tissue. It is a rare condition, and malignant transformation is seldom. We report a case with clear cell adenocarcinoma oncogenesis on abdominal wall scar that appeared after years of a caesarian section. After diagnosis, surgical treatment was performed twice, due to the fact that the margins were infiltrated with tumor cells, with replacement of the defect with a polypropylene mesh. The patient was cured and discharged with a favorable prognostic. To the best of our knowledge, there are few reported cases of clear cell adenocarcinoma arising from abdominal wall endometriosis. It is a rare condition that appears mostly after abdominal surgical interventions that clinicians must be aware.

KEY WORDS

Abdominal wall, Endometriosis, Cesarean section, Clear cell adenocarcinoma, Malignant transformation.

摘要

未标注

子宫内膜异位症是一种以子宫外子宫内膜组织存在为特征的疾病。它是一种罕见病症,很少发生恶性转化。我们报告一例在剖宫产术后数年出现的腹壁瘢痕处发生透明细胞腺癌的病例。诊断后,由于切缘有肿瘤细胞浸润,进行了两次手术治疗,并用聚丙烯网片修复缺损。患者治愈出院,预后良好。据我们所知,很少有腹壁子宫内膜异位症发生透明细胞腺癌的报道。这是一种罕见病症,大多出现在腹部手术干预后,临床医生必须予以关注。

关键词

腹壁;子宫内膜异位症;剖宫产;透明细胞腺癌;恶性转化

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