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Clear-cell carcinoma of the abdominal wall after cesarean delivery
Xiaoyan Li1, Jiaxin Yang, Dongyan Cao
1From the Departments of Obstetrics and Gynecology and Pathology, Chinese Academy of Medical Science, Peking Union Medical College Hospital, Beijing, China.
Background:
Clear-cell carcinoma transformed from an abdominal wall scar is extremely rare; there are only 22 cases reported in literature. Here we report a case of a patient with clear-cell carcinoma of the abdominal wall after cesarean delivery and review the relevant literature.
Case:
A 49-year-old woman presented with a chief complaint of progressively growing mass of cesarean scar and periodic pain with menstruation for 25 years. Wide surgical resection with clear margins was performed. Clear-cell carcinoma was demonstrated by pathologic examination. The patient underwent six cycles of adjutant chemotherapy postoperatively. The patient remains clinically free of recurrence 8 months after treatment.
Conclusion:
Comprehensive treatment consisting of radical surgery combined with adjuvant therapy should be considered for this uncommon condition.