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Journal of Oncology
Volume 2008, Article ID 478325, 3 pages
Case Report

Clear Cell Adenocarcinoma Arising from Abdominal Wall Endometriosis

1Department of Pathology, University Teaching Hospital Farhat Hached, Sousse 4000, Tunisia
2Department of Surgery, University Teaching Hospital Farhat Hached, Sousse 4000, Tunisia

Received 21 June 2008; Revised 16 September 2008; Accepted 21 November 2008

Academic Editor: Edward A. Copelan

Copyright © 2008 Thouraya Achach et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Endometriosis is a frequent benign disorder. Malignancy arising in extraovarian endometriosis is a rare event. A 49-year-old woman is presented with a large painful abdominal wall mass. She underwent a myomectomy, 20 years before, for uterus leiomyoma. Computed tomography suggested that this was a desmoid tumor and she underwent surgery. Histological examination showed a clear cell adenocarcinoma associated with endometriosis foci. Pelvic ultrasound, computed tomography, and endometrial curettage did not show any malignancy or endometriosis in the uterus and ovaries. Adjuvant chemotherapy was recommended, but the patient was lost to follow up. Six months later, she returned with a recurrence of the abdominal wall mass. She was given chemotherapy and then she was reoperated.