Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section.

Autor:	Hasan A; Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Deyab A; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Monazea K; Department of General Surgery, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt., Salem A; Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Futooh Z; Department of General Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt., Mostafa MA; Department of Internal Medicine and Cardiology, King Fahad Hospital, Albaha, Saudi Arabia., Youssef A; Department of Surgical Oncology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Nasr M; Department of Histology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Omar N; Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Rabaan AA; Molecular Diagnostic Labortaory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia., Taie DM; Department of Pathology, National Liver Institute, Menoufia University, Shebin El Kom, Egypt.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 Jan 21; Vol. 62, pp. 219-224. Date of Electronic Publication: 2021 Jan 21 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2021.01.029
Abstrakt:	Background: Over the past few decades, the rate of Cesarean Section (CS) delivery has been rising rapidly and the prevalence of CS-associated complications including Abdominal Wall Endometriomas (AWE) increases with each additional operation. The aim of this study was to evaluate the clinical characteristics, histopathological diagnostic role and surgical management of post-CS AWE through a retrospective case review. Methods: We calculated the incidence of AWE and reviewed all the patients underwent surgical removal of Post-CS AWE during the period of 2012-2018 who were diagnosed, treated and followed up for 2-8 years at our tertiary hospital. Results: Thirty women with AWE were included. The main symptom in 2/3 of cases was cyclic pain and 4 cases (13.3%) had no symptoms. The mean interval between prior CS and appearance of symptoms was 55.2 months and the mean size of the excised mass was 42 mm. Free surgical margin was less than 9 mm in 9 patients (30%) but no recurrence was recorded among all the studied patients. Pre-operative FNAC diagnosis was performed for only 3 patients (10%) which helped in excluding other potential pathologies. The clinical-pathological agreement value for detection of the nature of the abdominal wall mass was 93.4%. Conclusions: Patients with suspected AWE should undergo preoperative cytological biopsy to exclude alternative diagnosis. Wide surgical excision with margin of less than 1 cm could be accepted especially in case of weak abdominal wall. More studies on the post-CS complications; risks, prevention, early detection and proper management should be encouraged. Competing Interests: The authors declare no conflict of interest. (© 2021 The Authors.)
Databáze:	MEDLINE
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