title: Endometrial carcinoma recurrence in an abdominal scar 14 years after total hysterectomy.
abstract: BACKGROUND
  Abdominal scar recurrence of endometrial carcinoma after hysterectomy has been only occasionally described and occurred mostly within 5 years after surgery. Direct tumor cell seeding in the abdominal wound at the time of operation is thought to be most likely the cause of recurrence.
  
  
  METHODS
  The patient underwent total abdominal hysterectomy for early stage endometrial carcinoma. She presented 14 years later with an abdominal scar recurrence that was radically resected. Histology of the tumor was similar to that of the primary carcinoma.
  
  
  CONCLUSIONS
  Recurrences of endometrial carcinoma in an abdominal scar can occur even many years after hysterectomy and the concept of dormant cancer tumor cells is discussed as cause of recurrence rather than direct tumor cell implantation at the time of operation.
authors.affiliation: Department of Surgery, University of Würzburg, 97080 Würzburg, Germany. udo_lorenz@arcor.de <udo_lorenz@arcor.de>
authors.forename: U
authors.initials: U
authors.lastname: Lorenz
authors.forename: A M
authors.initials: AM
authors.lastname: Gassel
authors.forename: A
authors.initials: A
authors.lastname: Thiede
authors.forename: H J
authors.initials: HJ
authors.lastname: Gassel
mesh_terms: D000005:Abdomen / Q000473:pathology; D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D009364:Neoplasm Recurrence, Local / Q000473:pathology*