Reconstruction of Anterior Abdominal Wall defect by Artificial Dermal Mesh: after a Wide Excision of Clear Cells Adenocarcinoma arising from Ectopic Endometriosis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
Clear cell adenocarcinoma of the abdominal wall is traditionally treated by surgical resection with adjuvant postoperative treatment. We report the unusual case of a 49-year-old female who has presented a clear cell adenocarcinoma arising from an extra pelvic endometriosis node. The patient had a history of caesarian 8 years earlier and a progressive tumor process through anterior abdominal wall. Masked by umbilical hernia. After a large transfixing resection, abdominal wall reconstruction was performed by a biologic mesh cover by abdominoplasty. Although cases of adenocarcinoma arising from endometriosis have been already described, this is the first case reported with Stattice® artificial dermal mesh for the abdominal wall refection. This case shows clinical, radiographic, and histologic findings that may help the other surgeon to recognize and treat an unusual complication of extra pelvic endometriosis. Keywords: ovarian clear cell adenocarcinoma, ovarian clear cell adeno fibroma, endometriosis, Ki-67, Reconstruction of anterior abdominal wall defect, artificial dermal mesh.
Authors and Affiliations
S. Al Dhafiri, Dr D. Skalli, K Van Kerckhoven, P. Cabanis, JP Meningaud
Keywords
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