Clear cell adenocarcinoma arising from abdominal wall endometriosis.
Endometriosis is a frequent benign disorder. Malignancy arising in extraovarian endometriosis is a rare event. A 49-year-old woman is presented with a large painful abdominal wall mass. She underwent a myomectomy, 20 years before, for uterus leiomyoma. Computed tomography suggested that this was a desmoid tumor and she underwent surgery. Histological examination showed a clear cell adenocarcinoma associated with endometriosis foci. Pelvic ultrasound, computed tomography, and endometrial curettage did not show any malignancy or endometriosis in the uterus and ovaries. Adjuvant chemotherapy was recommended, but the patient was lost to follow up. Six months later, she returned with a recurrence of the abdominal wall mass. She was given chemotherapy and then she was reoperated.
Achach
Thouraya
T
Department of Pathology, University Teaching Hospital Farhat Hached, Sousse 4000, Tunisia.
Rammeh
Soumaya
S
Trabelsi
Amel
A
Ltaief
Rached
R
Ben Abdelkrim
Soumaya
S
Mokni
Moncef
M
Korbi
Sadok
S