Endometrial cancer is frequently diagnosed at an early stage and exhibits a good prognosis. However, 10–15% of tumors recur usually within 3 years, commonly at the vaginal vault and pelvis. Only a number of case reports exist for tumor recurrence in an abdominal incision site. We present a case of a 71-year old Filipina, a diagnosed case of Endometrial Adenocarcinoma Stage IIIA s/p surgery and chemoradiation, who presents with an enlarging abdominal mass of one-year duration at the inferior aspect of the surgical scar after 8 years of no evidence of disease. Physical examination revealed a 6 × 4 cm, friable, movable, nontender suprapubic mass. Surgical resection showed that the mass was confined to the abdominal wall, with no evidence of extension into the abdominopelvic cavity. Histopathology of the mass revealed adenocarcinoma, confirming tumor recurrence in an atypical location.
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