[Clinical characteristics of abdominal wall endometrioma and its recurrence-related factors].
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Abstract
OBJECTIVE: To analyze the clinical characteristics, and treatment, recurrence-related factors of abdominal wall endometriomas (AWE). METHODS: Fifty-seven cases of AWE treated at Peking Union Medical College Hospital from 1983 to 2002 were reviewed. RESULTS: The incidence of AWE was 1.04% (57/5478) in patients with endometriosis after surgical treatment. It was 0.046% in patients undergoing cesarean section in the same period. Of 57 cases with AWE, 56 had low-abdominal operation previously and one was primary umbilicus endometrioma. Fifty-five cases of AWE were secondary to cesarean section. The latent period of AWE was positively correlated to patient's age at onset (P < 0.001). Fifty-five cases received surgical treatment while 2 were given medical treatment. Follow-up duration was 1.1 - 235 months. Five cases recurred and one was transformed to malignancy. The recurrence was correlated to the size and depth of the lesions. CONCLUSIONS: AWE could be diagnosed prior to operation according to its typical clinical manifestations. Ultrasonic examination may be valuable for the diagnosis of atypical cases. Surgical treatment is effective. A complete excision with clear margin is very important to prevent recurrence.
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Cited by (12)
- Outcomes of Using Hormonal Therapy after Surgical Excision of Abdominal Wall Endometriomas 2022
- Abdominal wall endometriomas. Should the approach vary based on its relationship to the fascia? A case report and review of the literature 2020
- Clinical and imaging features of abdominal wall endometriomas 2018
- Endometrioma subcutáneo en la pared abdominal. A propósito de un caso 2017
- Les endométrioses iatrogènes de la femme avant la ménopause : principaux enjeux 2013
- Rarely seen abdominal wall endometriosis: 8 cases 2013
- A retrospective review of abdominal wall endometriosis in Shanghai, China 2013
- Pelvic and Extragenital Endometriosis: A Review of the Surgical Management of Deeply Infiltrating Lesions 2013
- A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section 2012
- Abdominal wall endometrioma mimicking an incarcerated hernia 2012
- Abdominal wall endometrioma mimicking an incarcerated hernia: a case report 2012
- ENDOMETRIOMA DE MÚSCULO RECTO ABDOMINAL EN PACIENTE CON CICATRIZ DE CESÁREA 2008
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