Wound seeding associated with endometrial cancer.
We report a patient with well-differentiated adenocarcinoma of the endometrium who developed a recurrence in the anterior abdominal wall probably secondary to wound seeding at the time of her original surgery. She underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy. She then received 15 mCi of 32P for positive peritoneal washings. She was free of disease until 2 years later when a large lower incision mass developed. She had no evidence for intra-abdominal disease and a radical resection with a myocutaneous flap was undertaken. Radical resection for isolated metastases may be of benefit for patients with endometrial cancer. Patients with positive cytology should be observed closely for incisional recurrence.
Curtis
M G
MG
Department of Obstetrics & Gynecology, Northeastern Ohio Universities College of Medicine, Akron General Medical Center 44307.
Hopkins
M P
MP
Cross
B
B
Tantri
M D
MD
Jenison
E L
EL
Rehmus
E
E
D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D000328:Adult; D016889:Endometrial Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local; D009366:Neoplasm Seeding; D010761:Phosphorus Radioisotopes / Q000627:therapeutic use
D010761:Phosphorus Radioisotopes