Endometrial carcinoma with recurrence in the incisional scar: A case report

Abstract

We report a case of papillary adenocarcinoma of uterus which developed a recurrence over the scar of surgery. The patient initially underwent surgery followed by adjuvant chemoradiotherapy for her stage II disease. She was disease-free until 21 months when she developed a small mass over the lower site of incisional scar. Fine needle aspiration cytology from this swelling revealed metastatic papillary adenocarcinoma similar to previous histopathology. Treatment of the scar recurrence consisted of palliative radiation therapy and chemotherapy.

Tibial bone metastasis as an initial presentation of endometrial carcinoma diagnosed by fine-needle aspiration cytology: A case report and review of the literature

“…Fine-needle aspiration diagnosis of metastatic endometrial carcinoma to sites other than bone have been reported,[ 51 52 53 54 55 56 57 58 ] including abdominal wall, breast, pleura, pancreas, tongue, and thyroid. Most of these metastatic tumors were endometrioid carcinomas, with some serous papillary cancers and a few clear cell carcinomas.…”

Tumour seeding in the surgical pathway after resection of skull base chordoma

“…Probably, the true incidence of the surgical seeding is not well known, but it seems to be an uncommon event, with an overall incidence rate of 5% or less, that rarely results in identifiable metastases. [22][23][24][25][26][27] Concerning skull base tumour sites, Moore et al 23 reported an actuarial risk of incisional relapse of 3% at 1 year in a series of 70 patients treated for sinonasal malignancies with midface and anterior skull base surgery. The possible mechanism of surgical pathway recurrence may be a direct implantation of tumour cells at the time of the surgical procedure or also a haematogenous spread to this particular location in which the increased blood flow and concentration of unknown chemotactic factors may increase the likelihood of tumour cells implantation.…”