Surgery of abdominal wall endometriosis associated with clear-cell carcinoma: Case report and review
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This case report describes the surgical management of abdominal wall endometriosis with associated clear-cell carcinoma and reviews similar literature.
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Abstract
Abdominal wall is a rare location for endometriosis, with a reported incidence of parietal endometriosis of approximately 0.03 to 0.4%. It most often occurs in the aftermath of a caesarean section and is associated with pelvic endometriosis in only 5 to 15% of cases. Rare cases of malignant transformation have been described, mainly in the form of clear-cell tumours. We report the case of a 52-year-old patient with a history of endometriosis who presented with a retractile parietal mass at the level of her caesarean scar. Histological analysis confirmed a clear-cell adenocarcinoma (CCC). Few cases of endometriosis - associated CCC are described in the literature. A review of the literature suggests radical surgical treatment combined with adjuvant radio-chemotherapy. However, the prognosis is poor. The aim of this case report is to suggest the diagnosis of malignant transformation in the presence of a rapidly evolving parietal mass in the context of endometriosis and a history of caesarean section.
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Cited by (4)
- Clear Cell Carcinoma of the Abdominal Wall: An Aggressive Endometriosis-Associated Malignant Disease 2026
- Beyond the scar: a retrospective analysis of a rare subtype of abdominal wall endometriosis with muscle fascia invasion and its surgical implications 2025
- A Case of Clear Cell Carcinoma Associated with Abdominal Wall Endometriosis 2025
- Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review 2024
Source provenance
- europepmc
- last seen: 2026-11-14T06:09:32.759907+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-11-14T06:09:18.013866+00:00
- unpaywall
- last seen: 2026-11-14T06:25:03.947826+00:00
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