Caesarean section scar endometriosis: A case report and review of the literature with special emphasis on malignant transformation

Abstract

Implantation endometriosis following caesarian hysterectomy is not an uncommon entity. Seeding of endometrium within the peritoneum and pelvic organs and the Pfannenstiel incision commonly occur. Post caesarean implantation endometriosis occurrence is determined by several factors. While endometriosis is a morbid disease, which causes pain, dysfunctional uterine bleeding and infertility, it is also a precancerous condition, and efforts should be made to avoid implantation endometriosis during uterine surgery. The object of this article is to present a 30 year old female with implantation endometriosis in a Pfannenstiel abdominal scar and to review the diagnostic facilities available and highlight the premalignant potential of endometriosis.

Menstruating primary umbilicus cutaneous endometriosis: A case report and review of literature

“…Recurrences are uncommon if excision is performed with clean and wide margins. However, malignant transformation had been reported in 0.3% to 1% of scar endometriosis and should be suspected in the case of rapidly-growing or recurrent lesions [9]. The commonest histological type is clear cell (66.7%) followed by endometroid (14.6%), serous (8.5%), mixed (4.2%) and others (6.2%) [10].…”