Malignant Transformation of Abdominal Wall Endometriosis: A Case Report

Abstract

Background: The carcinogenic potential of parietal endometriosis is poorly understood, making it difficult to diagnose and uncertain how to treat it. The prognosis for this complication of an abdominal scar is rather poor. In the literature, the survival rate only reaches 57% with a short follow-up of 20 months. The most common histological form is clear cell carcinoma, followed by endometrioid carcinoma. Radical surgery is the main treatment. Good operating technique with appropriate care during cesarean sections can prevent this complication of endometriosis. The starting point is usually a caesarean section scar. We report the case of a 44-year-old woman with a history of caesarean section who presented with recurrent parietal endometriosis, which transformed into clear cell adenocarcinoma.