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一名患有子宫腺肌病的患者剖宫产术后腹壁发生透明细胞腺癌。

Clear cell adenocarcinoma arising from the abdominal wall after cesarean section in a patient with uterine adenomyosis.

作者信息

Provendier Anaïs, Angeles Martina Aida, Meyrignac Olivier, Illac Claire, Ducassou Anne, Martínez-Gómez Carlos, Gladieff Laurence, Martinez Alejandra, Ferron Gwénaël

机构信息

Department of Surgical Oncology, Institut Claudius Regaud-Institut Universitaire du Cancer de Toulouse (IUCT)-Oncopole, Toulouse, France.

Department of Radiology, Institut Claudius Regaud-Institut Universitaire du Cancer de Toulouse (IUCT)-Oncopole, Toulouse, France.

出版信息

J Surg Case Rep. 2020 Apr 7;2020(4):rjaa070. doi: 10.1093/jscr/rjaa070. eCollection 2020 Apr.

DOI:10.1093/jscr/rjaa070
PMID:32280445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7136835/
Abstract

Malignant transformation of abdominal wall endometriosis lesions developed in a cesarean section scar is a rare event. Patients with uterine adenomyosis but without endometriosis can also develop abdominal wall malignant carcinoma after a gynecologic surgery. The treatment of abdominal wall clear cell adenocarcinoma combines tumor surgical excision with free margins, radiotherapy and chemotherapy. We report a case of clear cell carcinoma arising from an abdominal wall cesarean section scar in a patient without history of endometriosis.

摘要

剖宫产瘢痕处腹壁子宫内膜异位症病灶发生恶性转化是一种罕见事件。患有子宫腺肌病但无子宫内膜异位症的患者在妇科手术后也可能发生腹壁恶性肿瘤。腹壁透明细胞腺癌的治疗包括肿瘤的手术切除（切缘阴性）、放疗和化疗。我们报告一例无子宫内膜异位症病史的患者，其腹壁剖宫产瘢痕处发生透明细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/84ac9a030d3b/rjaa070f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/56564acd743a/rjaa070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/e54aedd88f2e/rjaa070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/2ada49671b2a/rjaa070f3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/84ac9a030d3b/rjaa070f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/56564acd743a/rjaa070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/e54aedd88f2e/rjaa070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/2ada49671b2a/rjaa070f3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a007/7136835/84ac9a030d3b/rjaa070f4.jpg

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本文引用的文献

1
Clear Cell Carcinoma of the Abdominal Wall as a Rare Complication of General Obstetric and Gynecologic Surgeries: 15 Years of Experience at a Large Academic Institution.腹壁透明细胞癌是妇产科手术罕见的并发症：一家大型学术机构 15 年的经验。
Int J Environ Res Public Health. 2019 Feb 14;16(4):552. doi: 10.3390/ijerph16040552.
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Clear cell adenocarcinoma arising from adenomyosis.
Int J Gynecol Pathol. 2009 May;28(3):262-6. doi: 10.1097/PGP.0b013e31818e101f.
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[Malignant transformation of abdominal wall endometriosis: a new case report].
J Gynecol Obstet Biol Reprod (Paris). 2006 Apr;35(2):186-90. doi: 10.1016/s0368-2315(06)76394-3.
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子宫内膜异位症及其进展的临床特征和局部组织病理学调节因子。
Int J Mol Sci. 2024 Feb 1;25(3):1789. doi: 10.3390/ijms25031789.
4
Adenomyosis and Its Possible Malignancy: A Review of the Literature.子宫腺肌病及其潜在恶性变：文献综述
Diagnostics (Basel). 2023 May 28;13(11):1883. doi: 10.3390/diagnostics13111883.
5
Clear cell carcinoma of the abdominal wall: A case report with a review of the literature.腹壁透明细胞癌：一例报告并文献复习
Ann Med Surg (Lond). 2022 Jun 18;79:104038. doi: 10.1016/j.amsu.2022.104038. eCollection 2022 Jul.
Endometriosis and the neoplastic process.子宫内膜异位症与肿瘤形成过程
Reproduction. 2004 Mar;127(3):293-304. doi: 10.1530/rep.1.00020.
5
Adenocarcinomas arising from uterine adenomyosis: a report of four cases.子宫腺肌病相关腺癌：4例报告
Int J Gynecol Pathol. 2002 Jul;21(3):239-45. doi: 10.1097/00004347-200207000-00006.
6
Malignant neoplasms arising in endometriosis.子宫内膜异位症中发生的恶性肿瘤。
Obstet Gynecol. 1990 Jun;75(6):1023-8.