IMR Press / EJGO / Volume 27 / Issue 3 / pii/2006178

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Double laparotomy wound recurrence of endometrial carcinoma

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1 Department of Pathological Anatomy, "L. Armanni" Second University of Naples (SUN), Naples, Italy
Eur. J. Gynaecol. Oncol. 2006, 27(3), 307–309;
Published: 10 June 2006

Introduction: Abdominal scar recurrence of endometrial carcinoma after abdominal total hysterectomy is very rare. We report a case of a 65-year-old woman who had two recurrences in the abdominal incisional scar after total hysterectomy. Case report: A 65-year-old woman underwent total hysterectomy with bilateral salpingo-oophorectomy and pelvic lym­phadenectomy because of well-differentiated endometrial adenocarcinoma (Stage IIB). Thus, the patient was treated by external beam radiotherapy. She developed two recurrences in the abdominal incisional scar two and three years after total hysterectomy, respectively. Surgery plus chemotherapy and surgery plus hormonal therapy were used for treatment of the first and second scar recurrence, respectively. Conclusions: It is a very intriguing and controversial biologic question how neoplastic cells can implant and grow in an abdom­inal scar without other concomitant metastases. We report a review of the literature and the possible mechanism of recurrences in laparotomy wounds.

Endometrial cancer
Survival of recurring patients
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