Laparotomy Wound Recurrence of Endometrioid Tumor

Endometrioid adenocarcinoma is one of the most form of common female genital cancer. Recurrences in the laparotomy wound that usually develop in the first year following surgical treatment are rare. Recurrences are more frequently associated to laparoscopic treatment and to advanced stage of malignancy. In literature there are few related works, mainly case reports. Cutaneous recurrences can be treated by surgery, radiotherapy or chemotherapy, according both to clinical conditions of the patient and the presence of other metastatic lesions in different sites. The prognosis of an isolated recurrence is generally favourable. We present a patient affected by uterine fibromatosis, who was surgically treated with hysterectomy and bilateral salpingo-oophorectomy. Three months later, the patient developed in the abdominal scar an adenocarcinoma recurrence, consistent with well differentiated endometrioid neoplasm, referable to a genital cancer. Considering the genital apparatus and supposing a cancer of tiny dimensions, the tubaric origin of the neoplasm is the most probable, due to the fact that, a minor number of sections are usually studied on the fallopian tubes rather than on the cervix and endometrium. The surgical removal of the lesion, followed by chemotherapy and radiotherapy leads to healing. The patient is actually tumor free, 80 months later.