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Advanced ovarian cancer imitating deep infiltrating endometriosis. Radical resection and reconstructive surgery of the anterior abdominal wall
Affiliations- Student Research Group of Oncology, Department of Oncology, Wroclaw Medical University, Wroclaw, Poland
- Department of Oncology, Wroclaw Medical University, Wroclaw, Poland
- Department of Gynecological Oncology, Lower Silesian Oncology, Pulmonology and Hematology Center, Wroclaw, Poland
- Department of Surgical Oncology, Lower Silesian Oncology, Pulmonology and Hematology Center, Wroclaw, Poland
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Abstract
Endometriosis is a disease affecting approximately 10–15% of the female population of reproductive age [1]. A rare location is endometriosis in the scar after caesarean section — CSE (caesarean scar endometriosis) accounting for 0.5–1.0 % of all cases. Although endometriosis is usually a benign condition, its malignant transformation affects 0.7–1% of cases. In women diagnosed with ovarian cancer, foci of endometriosis are present in up to 30% of patients. This paper presents the case of a 36-year-old patient initially diagnosed with extensive endometriosis involving the anterior abdominal wall and the pelvis minor. After biopsy, a diagnosis of advanced low-grade serous ovarian cancer was established. The diagnostic methods used and the extent of surgery with reconstruction of the anterior abdominal wall were described.
Abstract
Endometriosis is a disease affecting approximately 10–15% of the female population of reproductive age [1]. A rare location is endometriosis in the scar after caesarean section — CSE (caesarean scar endometriosis) accounting for 0.5–1.0 % of all cases. Although endometriosis is usually a benign condition, its malignant transformation affects 0.7–1% of cases. In women diagnosed with ovarian cancer, foci of endometriosis are present in up to 30% of patients. This paper presents the case of a 36-year-old patient initially diagnosed with extensive endometriosis involving the anterior abdominal wall and the pelvis minor. After biopsy, a diagnosis of advanced low-grade serous ovarian cancer was established. The diagnostic methods used and the extent of surgery with reconstruction of the anterior abdominal wall were described.
Keywords
endometriosis; ovarian cancer; surgical treatment
About this articleTitle
Advanced ovarian cancer imitating deep infiltrating endometriosis. Radical resection and reconstructive surgery of the anterior abdominal wall
Journal
Issue
Article type
Clinical vignette
Published online
2022-08-11
Page views
279
Article views/downloads
172
DOI
10.5603/GP.a2022.0074
Pubmed
Keywords
endometriosis
ovarian cancer
surgical treatment
Authors
Patrycja Stec
Anna Rygula
Marcin Jedryka
Rafal Matkowski
Piotr Lepka
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- Ijichi S, Mori T, Suganuma I, et al. Clear cell carcinoma arising from cesarean section scar endometriosis: case report and review of the literature. Case Rep Obstet Gynecol. 2014; 2014: 642483.
- Krawczyk N, Banys-Paluchowski M, Schmidt D, et al. Endometriosis-associated Malignancy. Geburtshilfe Frauenheilkd. 2016; 76(2): 176–181.
- Grabowski JP, Harter P, Heitz F, et al. Operability and chemotherapy responsiveness in advanced low-grade serous ovarian cancer. An analysis of the AGO Study Group metadatabase. Gynecol Oncol. 2016; 140(3): 457–462.
