A Case of Late Recurrence of Endometrial Cancer Metastasized to the Abdominal Wall and Presented with Inflammation 13 Years after Surgery

Abstract

A 79-year-old woman was referred to our hospital due to an abdominal mass, elevated inflammatory reaction and high serum tumor markers. She had undergone surgical treatment and adjuvant chemotherapy for endometrial cancer 13 years previously, and there were no signs of recurrence for 10 years after the surgery. We palpated a red tender mass at the right lower abdomen near the incisional hernia. An abdominal computed tomography scan showed a 75-mm mass with inflammatory change at the right abdominal rectus muscle. After antibiotic therapy, the mass was getting smaller but remaining. Histopathology of a biopsied specimen of the abdominal mass showed cancer cells highly supicious of endometrial origin. Because there was no evidence of other organ recurrence, the patient underwent surgical removal of the 60-mm abdominal mass. Histopathology confirmed that the lesion was recurrence of endometrial cancer. We here report a rare case of late abdominal wall recurrence of endometrial cancer with a brief overview of the literature on the similar cases.