title: Clear-cell carcinoma of the abdominal wall after cesarean delivery.
abstract: BACKGROUND
  Clear-cell carcinoma transformed from an abdominal wall scar is extremely rare; there are only 22 cases reported in literature. Here we report a case of a patient with clear-cell carcinoma of the abdominal wall after cesarean delivery and review the relevant literature.
  
  
  METHODS
  A 49-year-old woman presented with a chief complaint of progressively growing mass of cesarean scar and periodic pain with menstruation for 25 years. Wide surgical resection with clear margins was performed. Clear-cell carcinoma was demonstrated by pathologic examination. The patient underwent six cycles of adjutant chemotherapy postoperatively. The patient remains clinically free of recurrence 8 months after treatment.
  
  
  CONCLUSIONS
  Comprehensive treatment consisting of radical surgery combined with adjuvant therapy should be considered for this uncommon condition.
authors: From the Departments of Obstetrics and Gynecology and Pathology, Chinese Academy of Medical Science, Peking Union Medical College Hospital, Beijing, China.
authors: Xiaoyan
authors: X
authors: Li
authors: Jiaxin
authors: J
authors: Yang
authors: Dongyan
authors: D
authors: Cao
authors: Jinghe
authors: J
authors: Lang
authors: Jie
authors: J
authors: Chen
authors: Keng
authors: K
authors: Shen
mesh_terms: D000008:Abdominal Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery; D018262:Adenocarcinoma, Clear Cell / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D002471:Cell Transformation, Neoplastic; D002585:Cesarean Section; D017024:Chemotherapy, Adjuvant; D002921:Cicatrix / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D004715:Endometriosis / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D011247:Pregnancy; D014057:Tomography, X-Ray Computed