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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제3호
발행연도
2020.1
수록면
357 - 362 (6page)

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ObjectiveTo evaluate the clinical and pathological characteristics of lower anterior abdominal wall masses suspicious forendometriosis. MethodsA retrospective review of 38 patients who underwent surgery for a lower anterior abdominal wall mass suspicious forendometriosis was performed. Those with skin and intraperitoneal masses, lipomas, hernias, and metastatic malignantmasses were excluded. Patient age, body mass index, delivery history, dysmenorrhea, and mass size and location wereanalyzed. ResultsThirty-seven (97.3%) patients had a relevant surgical history, including 35 (92.1%) with a history of cesarean section(C/S). Among the three patients with no history of C/S, 1 underwent total abdominal and another total laparoscopichysterectomy, and 1 had no previous surgical history. The mean (±standard deviation) size of the abdominal masseswas 3.2±1.2 cm. One patient developed a recurrent mass after excision of abdominal wall endometriosis. Trocar siteendometrioma was found in one patient following total laparoscopic hysterectomy. According to the final pathologyreports, endometriosis was found in 35 (92.1%) of patients. The remaining 3 patients (7.9%) had malignancy:adenocarcinoma, squamous cell carcinoma, and extra-gastrointestinal stromal tumor. Before surgery, only 3 patients(7.9%) underwent fine-needle aspiration biopsy of the masses, which were all postoperatively confirmed to bepathologically benign. ConclusionAlthough most abdominal wall masses in the present sample were endometriosis occurring at the scar site from aprevious operation, 7.9% of patients ultimately exhibited malignancy. Therefore, all patients with suspected anteriorwall endometriosis should undergo preoperative biopsy to identify the few that will have an alternative diagnosis.

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