We report a case of port-site metastasis after laparoscopic surgery for early stage uterine carcinosarcoma (UCS) and review the related literature. A 53-year-old woman with suspected uterine malignance underwent a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy, infra-colic omentectomy, and pelvic lymphadenectomy resulting pathologically in a stage IA UCS. Twelve months later she developed a palpable abdominal-wall mass at the trocar site without other synchronous metastases. A mass resection was performed and it was pathologically diagnosed with port-site metastasis of UCS. When performing surgery for UCS, specimens should be carefully removed in case small pieces of the occult disseminated metastatic tissues are trapped between the outer surface of the trocar sleeve and the abdominal wall incisional canal. Despite the low incidence, a laparotomy might be considered rather than laparoscopy to prevent port-site metastasis and more gynecological oncology clinical practices might be relevant to the management of port-site metastasis.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639075 | PMC |
| http://dx.doi.org/10.3346/jkms.2017.32.11.1891 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Posterior retroperitoneal adrenalectomy for metastatic disease: a multi-site Australian series.
ANZ J Surg
November 2024
Surgical Services, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Background: Posterior retroperitoneoscopic adrenalectomy (PRA) for isolated adrenal metastasis is minimally invasive, may prolong survival and improve quality of life. The current evidence base is scant.
Methods: A multi-site retrospective analysis of all cases of PRA for adrenal metastasis between 2011 and 2023, by four high-volume adrenal surgeons was performed.
Totally implantable venous access port metastasis in a patient with multiple myeloma.
Radiol Case Rep
January 2025
Department of Radiology, Henry Ford Health, Detroit, MI 48202, USA.
Article Synopsis
- Multiple myeloma is a type of blood cancer that involves the growth of unusual plasma cells in the bone marrow, with extramedullary plasmacytomas being a rare form that can develop outside the bone marrow.
- A case of a 63-year-old man with multiple myeloma presented with a swollen port site, and imaging showed a mass that turned out to be a metastatic subcutaneous plasmacytoma.
- This case highlights the need to recognize and accurately diagnose skin-related plasmacytomas in patients with venous access ports to prevent misdiagnosis and unnecessary treatments.
Robotic and Laparoscopic Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy, Multicenter Study From Saudi Arabia.
J Surg Oncol
September 2024
Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.
Background: Peritoneal metastasis (PM) is a common evolution of abdominal tumors. Without aggressive multimodal treatment, it is associated with a poor prognosis. The aim of this study is to present a multicenter results from Saudi Arabia on minimally invasive CRS and HIIPEC.
View Article and Find Full Text PDFThe minimally invasive resection of port-site metastasis of ovarian cancer after laparoscopy with cutaneous integrity: a case report and literature review.
BMC Womens Health
September 2024
Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Renmin South Road, Chengdu, 610041, China.
Background: Postoperative wound recovery following laparotomy for port-site metastasis (PSM) resection is a concern. Reports indicate that wound healing disorders occur in patients with PSM. The challenges associated with PSM resection include the complete removal of the lesion, ensuring rapid wound healing, and maintaining the integrity of the abdominal wall.
View Article and Find Full Text PDFPort Site Metastasis in Women with Low- or Intermediate-Risk Endometrial Carcinoma: A Systematic Review of Literature.
Cancers (Basel)
July 2024
Gynecologic Oncology and Surgery Unit, Responsible Research Hospital, 86100 Campobasso, Italy.
Port site metastasis (PSM) has been reported as a rare metastasis in women with endometrial carcinoma (EC). However, even more rarely, it has also been described in patients with low- or intermediate-risk EC. Unfortunately, knowledge appears limited on the topic.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!