Article Text

Download PDFPDF

478 Robotic assisted laparoscopic resection of rectovaginal clear cell carcinoma mass arising from endometriosis
  1. M White1 and
  2. F Nezhat2
  1. 1NYU Winthrop Hospital, USA
  2. 2Weill Cornell Medical College, USA


Introduction Increasing evidence indicates there is malignant transformation of ovarian and non ovarian endometriosis into mainly endometrioid, and clear cell histologies. Patients that have suspicious symptoms, physical exam findings, or abnormal imaging studies should be evaluated to rule out malignancy. We briefly review the patients history and surgical case as the disease can be elusive.

Methods This is a surgical case report involving a single patient. The provider is a Gynecologic Oncologist and minimally invasive surgeon that has extensive experience in the treatment of endometriosis. The surgical technique for endometriosis resection and ovarian cancer debulking is reviewed in this video.

Results Pathology specimens of the vaginal cuff/vagina, iliocecum, and appendix were positive for clear cell carcinoma. Negative margins were achieved at the vagina.

Patient was treated with adjuvant chemotherapy with whole pelvic and vaginal brachytherapy.

Conclusion Management of patients with cancer arising from endometriosis can be challenging. Patients with endometriosis should be evaluated for malignancy with suspicious imaging findings. Optimal surgical resection followed by adjuvant chemotherapy or/and radiation is the current recommendation. Robotic Assisted Laparoscopy is feasible and may be preferable for debulking/resection of complex masses in the rectovaginal space in obese patients.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.