BACKGROUND: The development of a mass in a surgical scar poses a diagnostic dilemma due to similarities in appearance to hernias, abscesses, hematomas or desmoid tumors. Scar endometriosis is uncommon and malignant change within this ectopic tissue is rare. CASE REPORT: The case of a 55-year-old woman with an isolated clear cell adenocarcinoma in an area of scar endometriosis more than 17 years after a cesarean section is presented. Initially, this tumor was thought to be a chronic abscess, but was finally diagnosed as clear cell carcinoma. This case highlights the difficulties in preoperative diagnosis as well as the poor prognosis of these tumors. CONCLUSION: Accurate diagnosis of a lump within a scar is important to define the prognosis and treatment. Further data are needed for the management of this pathology.
BACKGROUND: The development of a mass in a surgical scar poses a diagnostic dilemma due to similarities in appearance to hernias, abscesses, hematomas or desmoid tumors. Scar endometriosis is uncommon and malignant change within this ectopic tissue is rare. CASE REPORT: The case of a 55-year-old woman with an isolated clear cell adenocarcinoma in an area of scar endometriosis more than 17 years after a cesarean section is presented. Initially, this tumor was thought to be a chronic abscess, but was finally diagnosed as clear cell carcinoma. This case highlights the difficulties in preoperative diagnosis as well as the poor prognosis of these tumors. CONCLUSION: Accurate diagnosis of a lump within a scar is important to define the prognosis and treatment. Further data are needed for the management of this pathology.
Authors: Luca Giannella; Matteo Serri; Elena Maccaroni; Jacopo DI Giuseppe; Giovanni Delli Carpini; Rossana Berardi; Francesco Sopracordevole; Andrea Ciavattini Journal: In Vivo Date: 2020 Jul-Aug Impact factor: 2.155
Authors: Gabriella Ferrandina; Eleonora Palluzzi; Francesco Fanfani; Stefano Gentileschi; Anna Lia Valentini; Maria Vittoria Mattoli; Ilaria Pennacchia; Giovanni Scambia; Gianfranco Zannoni Journal: World J Surg Oncol Date: 2016-12-03 Impact factor: 2.754
Authors: Yen-Ling Lai; Heng-Cheng Hsu; Kuan-Ting Kuo; Yu-Li Chen; Chi-An Chen; Wen-Fang Cheng Journal: Int J Environ Res Public Health Date: 2019-02-14 Impact factor: 3.390