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Table 1 Four cases of malignant transformation of endometriosis in the abdominal wall with lymph metastasis

From: Clear cell carcinoma arising from abdominal wall endometriosis: a unique case with bladder and lymph node metastasis

Case (reference)

Age

Time to onset

Tumor size

Histology

Lymph metastasis

Treatment

Outcome

  

(years)

(cm)

 

(involved/total)

  

1. [6]

38

13

10

CCC

Right iliac lymph node (1/28)

TAH + BSO

4 month NED

      

Omentectomy

 
      

Radical resection

 
      

Lymph node dissection

 
      

Chemotherapy

 

2. [7]

53

21

5

CCC

Inguinal nodes (17/17)

TAH + BS

11 month DOD

     

Pelvic lymph nodes (10/14)

Omentectomy

 
      

Radical resection

 
      

Lymph node dissection

 

3. [9]

48

16

6

Mixed endometrioid and serous carcinoma

Left iliac lymph nodes (2/not mentioned)

Radical resection

15 month NED

      

Curettage

 
      

Lymph node dissection

 
      

Chemotherapy

 
      

LH + BSO

 

This case

39

17

6

CCC

Inguinal nodes (8/8)

Radical resection

12 month DOD

     

Pelvic lymph nodes (18/21)

TAH + BSO

 
     

Para-aortic lymph nodes (6/6)

Omentectomy

 
      

Lymph node dissection

 
      

Chemotherapy and Chinese herbal medicine

 
  1. BSO, bilateral salpingo-oophorectomy; CCC, clear cell carcinoma; DOD, died of disease; NED, no evidence of disease; TAH, transabdominal hysterectomy. LH, laparoscopic hysterectomy.