巨大腹壁子宫内膜异位症恶变一例并文献复习

子宫内膜异位症（endometriosis,EMs）是一种育龄期妇女常见的良性疾病,多发生在子宫和卵巢。腹壁子宫内膜异位症（abdominal wall endometriosis,AWE）是指具有生长功能的子宫内膜组织异位到腹壁而形成的异位子宫内膜病灶。少部分EMs可向恶性转化,约80%的EMs相关恶性肿瘤局限于卵巢,而20%发现于性腺外部位,其中AWE恶变的病例较罕见。报告1例肿瘤体积较大的AWE恶变病例并进行文献复习,总结该病的临床特征、发病机制等,以期早期诊断和治疗AWE恶变患者,延长其生存时间。

Malignant Transformation of Giant Abdominal Wall Endometriosis: A Case Report and Literature Review

Endometriosis is a common benign disease in women of childbearing age, which mostly occurs in the uterus and ovary. Abdominal wall endometriosis (AWE) refers to the ectopic endometrial lesions formed by the ectopic growth of endometrial tissue to the abdominal wall. Although endometriosis is considered as a benign disease, a small part of it is still transformed into malignancy. About 80% of endometriosis related malignancies are found in the ovary, while 20% are limited to extragonadal sites, and the malignant transformation AWE is rare. Now we report the malignant case of AWE with large tumor volume in our hospital, summarize the clinical characteristics and pathogenesis of AWE, so as to diagnose and treat the disease early and prolong the survival time.