Isolated subcutaneous implantation of a borderline ovarian tumor: A case report and review of the literature
| Autor: | Borsu Yeganeh, Achim Maibach, Malgorzata Banys-Paluchowski, Natalia Krawczyk, Gerhard Gebauer, Ruediger Langenberg, Jutta Luettges, Holger Maul, Peter Paluchowski |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Hysterectomy medicine.diagnostic_test business.industry medicine.medical_treatment Case Report Fascia medicine.disease Surgery Metastasis 03 medical and health sciences Ovarian tumor 0302 clinical medicine medicine.anatomical_structure Oncology Peritoneum 030220 oncology & carcinogenesis medicine Implant Laparoscopy business Subcutaneous tissue |
| Popis: | Laparoscopy-related tumor implantations of gynecological malignancies into the subcutaneous tissue are rarely diagnosed. We report an interesting case of a 46-year-old female who presented with an abdominal subcutaneous metastasis of a borderline ovarian tumor. The patient received a laparoscopic unilateral adnexectomy for a solid-cystic tumor of the right ovary. Histopathological workup showed a papillary borderline tumor of mucinous type. Nine days later she underwent a hysterectomy, left adnexectomy, appendectomy and omentectomy. Exploration of the peritoneum revealed no intraperitoneal implants. Further exploration showed a non-invasive implant of a borderline tumor in the subcutaneous tissue above the fascia that had no contact to the peritoneum. It is hypothesized that tumor cells may have been implanted during a previous laparoscopy, the most recent of which had been fourteen years prior to her current presentation. Various risk factors for port-site malignancies have been identified. Tumor manipulation and extraction of tumor tissue without a protective bag may contribute to development of trocar-site metastasis. |
| Databáze: | OpenAIRE |
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