Abdominal wall port site metastasis after robotically staged endometrial carcinoma: A case report.

Autor: Nguyen ML; Department of Obstetrics and Gynecology, Westchester Medical Center of New York Medical College, United States. Electronic address: Miminguyen17@gmail.com., Friedman J, Pradhan TS, Pua TL, Tedjarati SS
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2013; Vol. 4 (7), pp. 613-5. Date of Electronic Publication: 2013 Apr 18.
DOI: 10.1016/j.ijscr.2013.04.006
Abstrakt: Introduction: The incidence of port-site metastasis following robotic-assisted laparoscopic hysterectomy is unknown.
Presentation of Case: We present a case of a 78-year-old female diagnosed with an incidental grade 3 endometrial adenocarcinoma on a final hysterectomy specimen. She subsequently underwent a robotic staging surgery with a gynecologic oncologist where nodal pathology was found to be negative; her final stage was 1B. One year following diagnosis, she developed a recurrence on her abdominal wall at the former port-sites with concomitant vaginal cuff recurrence.
Discussion: We hypothesize possible modes of metastasis and present limited published data to date on port site metastasis following robotic hysterectomy for endometrial cancer.
Conclusion: This is the second reported case of port-site metastasis following robotic surgery for endometrial cancer.
(Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE