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Plastic surgery for giant metastatic endometrioid adenocarcinoma in the abdominal wall:A case report and review of literature

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World Journal of Clinical Cases 2022年第19期10卷 6702-6709页

作者： Jing-Yuan Wang Zhi-Qi Wang Si-Chen Liang Guang-Xue Li Jing-Li Shi Jian-Liu Wang Department of Obstetrics and Gynecology Peking University People's HospitalBeijing 100044China Department of Plastic Surgery Peking University People’s HospitalBeijing 100044China Department of Pathology Peking University People’s HospitalBeijing 100044China

BACKGROUND Endometrial cancer(EC)is a common gynecological malignancy,but metastasis to the abdominal wall is extremely ***,an appropriate treatment approach for large metastatic lesions with infection remains a great *** SUMMARY We report the case of a 65-year-old woman who developed abdominal metastasis of endometrioid adenocarcinoma,as defined by International Obstetrics and Gynecology stage II,in which the lesion was complicated by infection.A right hemicolectomy was performed for colon metastasis in relation to her initial gynecological cancer 3 years *** admitted to our department,a complete resection of the giant abdominal wall lesion was performed,and a Bard composite mesh was used to reconstruct the abdominal wall.A local flap was used to close the resultant large defect in the external covering of the *** patient underwent chemotherapy following cytoreductive *** revealed metastasis of EC,and molecular subtyping showed copy number high of TP53 mutation,implying a poor *** When EC patients develop giant abdominal wall metastasis,a plastic surgeon should be included before contemplating resection of tumors.

关键词： abdominal metastasis Infection Endometrial cancer Reconstruction Mesh Case report

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abdominal metastases of primary extremity soft tissue sarcoma: A systematic review

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World Journal of Clinical Oncology 2020年第2期11卷 74-82页

作者： Maria Anna Smolle Andreas Leithner Gerwin Alexander Bernhardt Department of Orthopaedics and Trauma Medical University of Graz

BACKGROUND Despite the fact that about one third of patients with primary localized extremity soft tissue sarcoma(e STS)will develop metastatic disease,abdominal metastases(AM)and retroperitoneal metastases(RM)constitute rare *** is no clear consensus on how to achieve follow-up on patients with primary localized e STS following curative resection,especially regarding the surveillance of potential AM/*** To systematically analyse incidence,diagnosis,treatment and outcome of AM/RM in e STS *** In this systematic review,899 studies available in Pub Med and published between 2000 and 2018 were screened,identifying 17 original articles focused on AM or RM in e *** selection was based on the PRISMA guidelines,using the search terms(abdominal metastasis AND soft tissue sarcoma)and(soft tissue sarcoma metastasis abdomen).All studies published between January 1,2000 and December 31,2018 were *** articles were identified by crosssearching article references,with the final search date being February 18,*** to limited data and the different reporting techniques used,the present review focused on descriptive analysis of the included *** Of the 17 studies included,six original articles reported on incidence±diagnosis,therapy and outcome in AM and RM,whilst three original and eight case reports focused on diagnostic pathway,therapeutic procedures or outcomes without allowing conclusions regarding incidence of AM and *** to the former six studies,incidence of AM ranged from 0.9%-5.6%in patients with miscellaneous histological subtypes,and up to 12.1%in patients with myxoid *** most common histological subtypes that developed AM or RM were(myxoid)liposarcoma and leiomyosarcoma,but also rare subtypes such asepithelioid sarcoma,myxofibrosarcoma,synovial sarcoma,and malignant peripheral nerve sheath tumour had been reported to develop AM/*** for AM/RM was performed in five of eight case-reports(

关键词： Extremity soft tissue sarcoma abdominal metastasis Retroperitoneal metastasis Diagnosis Treatment Outcome

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