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Endometrial cancer implanted within a cesarean section scar
Author(s) -
Baba Tsukasa,
Mandai Masaki,
Yamanishi Yukio,
Suzuki Ayako,
Kang Hyun Sook,
Konishi Ikuo
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2010.01381.x
Subject(s) - medicine , scars , lesion , endometrial cancer , uterus , uterine cavity , adenocarcinoma , fundus (uterus) , endometrium , cancer , gynecology , surgery , obstetrics
Several reports have documented adenocarcinoma arising from endometriotic implants within cesarean section (C‐S) scars on the serosal surface of the uterus; however, endometrial cancer invading the C‐S scar from the uterine cavity has not been described. We report a case of a grade 1 endometrioid adenocarcinoma ‘drop’ lesion invading a previous C‐S scar with resultant cervical stromal invasion. Using both MR images and a thorough review of the pathology, the tumor at the C‐S scar was determined to be an implant derived from a primary lesion at the uterine fundus. With increases in the incidence of both endometrial cancer and births by C‐S, it is likely we will encounter more cases of iatrogenic implants of endometrial cancers in C‐S scars.