WOUND SEEDING ASSOCIATED WITH ENDOMETRIAL CANCER

We report a patient with well-differentiated adenocarcinoma of the end ometrium who developed a recurrence in the anterior abdominal wall pro bably secondary to wound seeding at the time of her original surgery. She underwent total abdominal hysterectomy, bilateral salpingo-oophore ctomy. She then received 15 mCi of P-32 for positive peritoneal washin gs. She was free of disease until 2 years later when a large lower inc ision mass developed. She had no evidence for intra-abdominal disease and a radical resection with a myocutaneous flap was undertaken. Radic al resection for isolated metastases may be of benefit for patients wi th endometrial cancer. Patients with positive cytology should be obser ved closely for incisional recurrence. (C) 1994 Academic Press, Inc.