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Table 1 Clinicopathological characteristics of two patients with clear-cell carcinoma of abdominal wall cesarean section scars

From: Clear-cell carcinoma originating from cesarean section scar: two case reports 

Characteristics

Patient 1

Patient 2

Age at diagnosis (years)

53

58

BMI (kg/m2)

35.4

26.6

Parity

3

3

Tumor size (cm)

9.1 × 5.6 × 4.7

12 × 8 × 8

Type of cesarean abdominal wall incision, no. of times

Pfannenstiel, 3 times

Vertical, 3 times

Symptom

Lower abdominal wall mass

Lower abdominal wall mass

Mobility of mass

Fixed to pubic symphysis

Partially mobile

Time from the last cesarean to disease diagnosis (years)

23

20

Preoperative CT scan results

Lower abdominal wall mass

Lower abdominal wall mass

Left solid adnexal mass (lymph node)

Umbilical hernia

First surgery

Total abdominal wall mass excision

Total abdominal wall mass excision

TAH, BSO, selective large BPLND

Surgical margins of the abdominal wall mass

Free but narrow (1 mm)

Free and wide (more than 1 cm)

Time from the first surgery to recurrence (months)

9.5

No recurrence

Adjuvant chemotherapy, first-line

Taxol + carboplatin

6 cycles

Taxol + carboplatin

6 cycles

Radiotherapy

No

No

Second surgery

TAH+BSO

Selective large BPLND

Colon surgery (partial obstruction)

No

Current status

Died of disease

Alive without recurrence

  1. BMI body mass index, CT computed tomography, TAH total abdominal hysterectomy, BSO bilateral salpingo-oophorectomy, BPLND bilateral pelvic lymph node dissection