Port-Site Metastasis of Uterine Carcinosarcoma after Laparoscopy.
10.3346/jkms.2017.32.11.1891
- Author:
Zhen TAN
1
;
Ang LI
;
Long CHEN
;
XiaoWen XU
;
ChuanGang FU
Author Information
1. Department of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. fugang416@126.com
- Publication Type:Case Report
- Keywords:
Uterine Carcinosarcoma;
Laparoscopy;
Port-Site Metastasis
- MeSH:
Abdominal Wall;
Carcinosarcoma*;
Female;
Humans;
Hysterectomy;
Incidence;
Laparoscopy*;
Laparotomy;
Lymph Node Excision;
Middle Aged;
Neoplasm Metastasis*;
Surgical Instruments
- From:Journal of Korean Medical Science
2017;32(11):1891-1895
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
