title: [Adenocarcinoma arising from endometriosis in scar from a cesarean section treated with the use of plastic mesh].
abstract: OBJECTIVE
  Abdominal wall endometriosis is usually a secondary process in scars after a cesarean section or appendectomy. Malignant transformation is an infrequent complication of endometriosis. The great majority of cases belong to adenocarcinoma. Only 21.3% of cases of malignant transformation of endometriosis occur at extragonadal pelvic sites, 4% of cases in scars after laparotomy.
  
  
  METHODS
  This is a case report of malignant transformation of endometriosis to adenocarcinoma in scar after cesarean section in 45-year old woman.
  
  
  CONCLUSIONS
  In cases of abdominal wall endometriosis in scars after cesarean section surgical treatment is a method of choice. Treatment consisted in wide surgical resection followed by prosthetic abdominal wall repair. Using a plastic mesh is a method of choice for abdominal wall reconstruction after surgery.
authors.affiliation: Oddział Klinicznego Połoznictwa i Ginekologii w Bytomiu, SlAM w Katowicach, Bytom. bytomobstgyn@slam.katowice.pl
authors.forename: Anita
authors.initials: A
authors.lastname: Olejek
authors.forename: Wojciech
authors.initials: W
authors.lastname: Bichalski
authors.forename: Beata
authors.initials: B
authors.lastname: Rembielak-Stawecka
authors.forename: Adam
authors.initials: A
authors.lastname: Ziółkowski
mesh_terms: D034861:Abdominal Wall; D018269:Carcinoma, Endometrioid / Q000209:etiology* / Q000601:surgery; D002471:Cell Transformation, Neoplastic; D002585:Cesarean Section; D002921:Cicatrix / Q000150:complications* / Q000209:etiology; D016889:Endometrial Neoplasms / Q000209:etiology* / Q000601:surgery; D004715:Endometriosis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome