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首页> 外文期刊>Acta Cytologica: The Journal of Clinical Cytology and Cytopathology >Clear cell carcinoma in a background of endometriosis. Case report of a finding in a midline abdominal scar 5 years after a total abdominal hysterectomy.
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Clear cell carcinoma in a background of endometriosis. Case report of a finding in a midline abdominal scar 5 years after a total abdominal hysterectomy.

机译：子宫内膜异位症背景下的透明细胞癌。腹部全子宫切除术后5年发现中线腹部疤痕的病例报告。

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摘要

BACKGROUND: Endometriosis is considered a premalignant process whose association with carcinoma is well documented. We discuss a case of clear cell carcinoma with an unusual presentation in that it was located outside the abdominal cavity and was the only lesion noted clinically and radiologically. The histopathologic diagnostic criteria will be reviewed, as will the association of carcinomas with endometriosis. Furthermore, we will review the current literature of extraovarian clear cell carcinoma associated with endometriosis with regard to clinical outcome. CASE: A 42-year-old Hispanic woman presented to the Fine Needle Aspiration (FNA) Clinic at Parkland Hospital, Dallas, Texas, in August 2005 secondary to a growing area of firmness associated with her midline abdominal hysterectomy scar. A single mass anterior to the abdominal wall was identified radiologically. The FNA sample was reported as highly atypical cells suspicious for adenocarcinoma. Excision of this mass revealed a clear cell carcinomain a background of endometriosis. CONCLUSION: Clear cell carcinoma is one of the most prevalent carcinomas associated with endometriosis, whether identified in the ovary or extraovarian site. This case is perplexing because the mass was a solitary lesion and the patient never had documented endometriosis. The unusual presentation may make survival difficult to predict.
机译：背景：子宫内膜异位症被认为是恶变前过程，其与癌的相关性已有充分文献记载。我们讨论一例具有异常表现的透明细胞癌，因为它位于腹腔外部，并且是临床和放射学上发现的唯一病变。将审查组织病理学诊断标准，以及癌与子宫内膜异位症的关联。此外，我们将回顾与子宫内膜异位症相关的卵巢外透明细胞癌的临床文献。案例：2005年8月，一名42岁的西班牙裔妇女在德克萨斯州达拉斯帕克兰医院的细针穿刺（FNA）诊所就诊，其次是与中线腹部子宫切除术疤痕相关的牢固性增加。放射学上鉴定出腹壁前的单个肿块。据报道，FNA样品为高度非典型细胞，可疑腺癌。切除该肿块在子宫内膜异位的背景下显示出透明细胞癌。结论：透明细胞癌是与子宫内膜异位症相关的最普遍的癌之一，无论是在卵巢还是在卵巢外的部位均可发现。该病例令人困惑，因为肿块是一个孤立的病灶，患者从未记录过子宫内膜异位症。不正常的表现可能使生存难以预测。

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