Advanced ovarian cancer imitating deep infiltrating endometriosis. Radical resection and reconstructive surgery of the anterior abdominal wall
, 24, 23
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: endometriosisovarian cancersurgical treatment
References
- Mehedintu C, Plotogea MM, Ionescu S, et al. Endometriosis still a challenge. J Med Life. 2014; 15(7): 349–357.
- Kobayashi H, Sumimoto K, Moniwa N. Risk of developing ovarian cancer among women with ovarian endometrioma: a cohort study in Shizuoka, Japan . Int J Gynecol Cancer. 2007; 17(1): 37–43.
- 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.
