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Mixed endometrioid and clear cell carcinoma arising from laparoscopic trocar site endometriosis
Author(s) -
Tsuruga Tetsushi,
Hirata Tetsuya,
Akiyama Ikumi,
Matsumoto Yoko,
Oda Katsutoshi,
Fujii Tomoyuki,
Osuga Yutaka
Publication year - 2019
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/jog.14014
Subject(s) - medicine , endometriosis , abdominal wall , clear cell carcinoma , malignancy , carcinoma , laparoscopic surgery , malignant transformation , radiology , laparoscopy , surgery , gynecology , pathology
Laparoscopic port site endometriosis is less common in abdominal wall endometriosis, and malignant transformation of abdominal wall endometriosis is rare. We reported a case of mixed endometrioid and clear cell carcinoma arising from port site endometriosis. The patient was a 49‐year‐old woman with a history of laparoscopic excision of ovarian endometrioma. Physical examination revealed a subcutaneous solid tumor around the laparoscopic surgical scar. Imaging showed a suspicious malignancy. She underwent radical marginal resection of the abdominal wall tumor, flap reconstruction of the abdominal wall, hysterectomy, bilateral salpingo‐oophorectomy and omental biopsy. Histological examination revealed mixed endometrioid and clear cell carcinoma. Computed tomography scan showed no evidence of recurrence after six cycles of chemotherapy. This is the first case of malignant transformation from laparoscopic trocar site endometriosis.