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 |