| Autor: |
Kuan-Gen Huang, Renee Vina G. Sicam, Chyi-Long Lee, Tsuyoshi Ota |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
International Cancer Conference Journal. 2:131-134 |
| ISSN: |
2192-3183 |
| DOI: |
10.1007/s13691-012-0075-5 |
| Popis: |
We reported an unusual case of abdominal metastasis after hand-assisted laparoscopic splenectomy in a patient with recurrent cervical cancer. A 50-year-old woman who had been diagnosed with the International Federation of Gynecology and Obstetrics (FIGO) stage IIa squamous cell carcinoma (SCC) of the cervix was treated by radical hysterectomy. A five-year follow-up examination revealed recurrence in the spleen. Hand-assisted laparoscopic splenectomy was performed. Twelve months later, a suspicious lesion was found in the patient’s left abdomen at the site of the hand-port scar. An abdominal wall tumor was excised, and histologic examination confirmed recurrence of the SCC. Although the tumor was completely removed, colon, stomach, skin and abdominal wall metastasis occurred within 4 months. The patients received palliative chemotherapy and radiotherapy but succumbed to the disease 7 months after the second recurrence. Laparoscopic surgery is widely used because of its relatively low complication rate and short recovery time. However, we must be aware of the possibility of laparoscopy-related hand-port or trocar site tumor recurrence in the abdominal wall for which the treatment response and prognosis can be poor. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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