Primary abdominal wall clear cell carcinoma: case report and review of literature
Carole Williams1, Patrick Petignat, Annie Belisle
1CHUM, Hôpital Notre-Dame, Gynecologic Oncology Service, 1560 Sherbrooke Est, Montreal QC, H2K 4E9, Canada. drcarolewilliams@gmail.com
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.
