A 58-year-old woman underwent abdominal hysterectomy and bilateral salpingo-oophorectomy for stage Ib, grade 2 endoi trial adenocarcinoma followed by external pelvic irradiation. Five years later she presented with a 7 cm solitary infraumbil incisional tumor recurrence that was resected. Histology of the tumor implant was similar to that of the primary cancer. The pat was then started on pregestin therapy with no evidence of recurrence for four years. To our knowledge this is the fourth repo case of endometrial cancer implanting in an abdominal scar.