Adenocarcinomas presenting as abdominal wall masses.

Area of Science:

• Oncology
• Surgical Pathology
• Gynecologic Oncology

Background:

• Abdominal wall masses are uncommon, presenting diagnostic challenges.
• Malignant abdominal wall tumors can be primary or metastatic.
• Accurate diagnosis is crucial for effective treatment planning.

Observation:

• A case series of three patients with abdominal adenocarcinoma of unknown primary origin was analyzed.
• Initial evaluations included biopsy and imaging.
• All patients underwent surgical resection for their abdominal masses.

Findings:

• Final histopathological analysis revealed a gynecological origin for all three tumors.
• The presented cases highlight the difficulty in diagnosing the primary source of abdominal adenocarcinoma.
• Gynecological cancers can manifest as abdominal wall masses.

Implications:

• Multidisciplinary management involving oncologists, surgeons, and gynecologists is essential.
• Enhanced diagnostic strategies may be needed for abdominal masses of unknown primary.
• This underscores the importance of considering gynecological origins in unexplained abdominal adenocarcinoma.