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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Clear Cell Carcinoma Arising from Cesarean Section Scar Endometriosis: Case Report and Review of the Literature
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Clear Cell Carcinoma Arising from Cesarean Section Scar Endometriosis: Case Report and Review of the Literature

机译：剖宫产瘢痕子宫内膜异位症引起的透明细胞癌：病例报告及文献复习

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Introduction.The incidence of endometriosis affecting skin tissue represents only 0.5–1.0% of all endometriosis cases. A malignancy in the abdominal wall arising from endometriosis following cesarean section is even rarer; only 21 cases have previously been reported. The therapeutic strategy has not been determined because of the limited cases. We report a case of clear cell adenocarcinoma arising in the abdominal wall from endometriosis tissues following cesarean section and review previous literature to achieve the optimal treatment and better prognosis.Case Presentation.A 60-year-old woman presented with a growing mass at the left side of a cesarean section scar. Radical resection of the abdominal wall mass was performed. Histopathological examination showed a clear cell adenocarcinoma. Benign endometrium-like tissues were found adjacent to the cancer lesion in the excised specimen, suggesting malignant transformation from endometriosis of the abdominal wall.Discussion.Local resection was performed in 10 cases (47.6%) and total abdominal hysterectomy or oophorectomy was conducted in 11 cases (52.4%). No malignant lesions were observed in either the uterus or adnexa that were resected. These cases may be expected to increase with increasing incidence of cesarean section. The significance of the extensional resection should be further elucidated.
机译：简介：影响皮肤组织的子宫内膜异位症的发生率仅占所有子宫内膜异位症病例的0.5–1.0％。剖宫产后子宫内膜异位引起的腹壁恶性肿瘤更为罕见。以前仅报道过21例。由于病例有限，尚未确定治疗策略。我们报告了一例剖宫产术后子宫内膜异位症在腹壁出现透明细胞腺癌的病例，并回顾了以往的文献，以达到最佳治疗效果和更好的预后。病例介绍：一名60岁的女性左侧肿块不断增大剖宫产一侧有疤痕。根治性切除腹壁肿块。组织病理学检查显示为透明细胞腺癌。切除标本中发现癌旁邻近良性子宫内膜样组织，提示从腹壁子宫内膜异位发生恶变。讨论：局部切除10例（47.6％），全腹子宫全切或卵巢切除11例案件（52.4％）。在切除的子宫或附件中均未观察到恶性病变。随着剖宫产率的增加，预计这些病例将增加。扩张切除的意义应进一步阐明。

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