How would you manage an endometrial adeno abdominal wall recurrence at the port site from prior laparoscopic surgery?  

I agree with R0 resection and would echo postoperative RT if it is the only site of disease. Oncologic abdominal wall resections are not routine for most surgeons and don't have standardized approaches. Make sure that your surgeon and pathologist understand that you want it evaluated similarly to a...

If operable, I favor surgery with R0 resection.

These patients should have resection when possible and I strongly favor post-op RT. Local control rates are very high with combination therapy and the prognosis is typically favorable. Careful attention to other port sites (while extremely rare) is also advised.

Resect if possible to get an R0 outcome.