Port-site recurrence following laparoscopic surgery in cervical cancer
Port-site metastasis (PSM) after laparoscopic lymphadenectomy in cervical cancer is a new phenomenon. This situation creates potential therapeutic difficulties, especially in node-negative and early stages of disease. We report a case of port-site metastases following laparoscopic removal of para-ao...
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| Veröffentlicht in: | International journal of gynecological cancer 2001-09, Vol.11 (5), p.409-412 |
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| container_title | International journal of gynecological cancer |
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| creator | Tjalma, W. A. A. Winter-Roach, B. A. Rowlands, P. De Barros Lopes, A. |
| description | Port-site metastasis (PSM) after laparoscopic lymphadenectomy in cervical cancer is a new phenomenon. This situation creates potential therapeutic difficulties, especially in node-negative and early stages of disease. We report a case of port-site metastases following laparoscopic removal of para-aortic lymph nodes in a 74-year-old women with stage IIIb squamous cancer of the cervix, together with an update of all the previous published cases in the literature. None of the removed lymph nodes showed evidence of metastatic carcinoma. The patient received radiation therapy and a complete response was accomplished. Fifteen months after the operation, the patient presented with a suspicious lesion around the umbilical port-site. The lesion was excised and histology confirmed metastatic disease. The patient was further treated with cisplatin. However, she died of her disease after 24 months. The development of a port-site recurrence after laparoscopic surgery in cervical cancer could jeopardize use of this approach. Therefore, all patients undergoing laparoscopic surgery for malignancies should have careful follow-up with special attention to the port sites. |
| doi_str_mv | 10.1136/ijgc-00009577-200109000-00012 |
| format | Article |
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A. A. ; Winter-Roach, B. A. ; Rowlands, P. ; De Barros Lopes, A.</creator><creatorcontrib>Tjalma, W. A. A. ; Winter-Roach, B. A. ; Rowlands, P. ; De Barros Lopes, A.</creatorcontrib><description>Port-site metastasis (PSM) after laparoscopic lymphadenectomy in cervical cancer is a new phenomenon. This situation creates potential therapeutic difficulties, especially in node-negative and early stages of disease. We report a case of port-site metastases following laparoscopic removal of para-aortic lymph nodes in a 74-year-old women with stage IIIb squamous cancer of the cervix, together with an update of all the previous published cases in the literature. None of the removed lymph nodes showed evidence of metastatic carcinoma. The patient received radiation therapy and a complete response was accomplished. Fifteen months after the operation, the patient presented with a suspicious lesion around the umbilical port-site. The lesion was excised and histology confirmed metastatic disease. The patient was further treated with cisplatin. However, she died of her disease after 24 months. The development of a port-site recurrence after laparoscopic surgery in cervical cancer could jeopardize use of this approach. Therefore, all patients undergoing laparoscopic surgery for malignancies should have careful follow-up with special attention to the port sites.</description><identifier>ISSN: 1048-891X</identifier><identifier>EISSN: 1525-1438</identifier><identifier>DOI: 10.1136/ijgc-00009577-200109000-00012</identifier><identifier>PMID: 11737474</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged ; Carcinoma, Squamous Cell - secondary ; Carcinoma, Squamous Cell - surgery ; Cervical cancer ; Fatal Outcome ; Female ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Lymph Node Excision - adverse effects ; Lymphatic system ; Metastasis ; Neoplasm Recurrence, Local ; Neoplasm Seeding ; Port-site recurrence ; Skin Neoplasms - secondary ; Skin Neoplasms - surgery ; Surgery ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - surgery</subject><ispartof>International journal of gynecological cancer, 2001-09, Vol.11 (5), p.409-412</ispartof><rights>2001 IGCS</rights><rights>2001 IGCS and ESGO.</rights><rights>2001 2001 IGCS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b2494-942e902b632bf618b5267da7b172552c4bb58fc082b26b67253dd8e5b3b738d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11737474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tjalma, W. A. A.</creatorcontrib><creatorcontrib>Winter-Roach, B. A.</creatorcontrib><creatorcontrib>Rowlands, P.</creatorcontrib><creatorcontrib>De Barros Lopes, A.</creatorcontrib><title>Port-site recurrence following laparoscopic surgery in cervical cancer</title><title>International journal of gynecological cancer</title><addtitle>Int J Gynecol Cancer</addtitle><description>Port-site metastasis (PSM) after laparoscopic lymphadenectomy in cervical cancer is a new phenomenon. This situation creates potential therapeutic difficulties, especially in node-negative and early stages of disease. We report a case of port-site metastases following laparoscopic removal of para-aortic lymph nodes in a 74-year-old women with stage IIIb squamous cancer of the cervix, together with an update of all the previous published cases in the literature. None of the removed lymph nodes showed evidence of metastatic carcinoma. The patient received radiation therapy and a complete response was accomplished. 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Therefore, all patients undergoing laparoscopic surgery for malignancies should have careful follow-up with special attention to the port sites.</description><subject>Aged</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cervical cancer</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Lymph Node Excision - adverse effects</subject><subject>Lymphatic system</subject><subject>Metastasis</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasm Seeding</subject><subject>Port-site recurrence</subject><subject>Skin Neoplasms - secondary</subject><subject>Skin Neoplasms - surgery</subject><subject>Surgery</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - surgery</subject><issn>1048-891X</issn><issn>1525-1438</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqVkF1LwzAUhoMobn78BSmI3lXz2aQXXshwUxjohYJ3oUnTkdI2M1kn-_embip4pblJzuF9z3vyAHCB4BVCJLu29UKnMJ6ccZ5iCBHMYzW0EN4DY8QwSxElYj--IRWpyNHrCByFUA8mDPNDMEKIE045HYPpk_OrNNiVSbzRvfem0yapXNO4d9stkqZYFt4F7ZZWJ6H3C-M3ie0Sbfza6qJJdBEN_gQcVEUTzOnuPgYv07vnyX06f5w9TG7nqcI0p2lOsckhVhnBqsqQUAxnvCy4QhwzhjVViolKQ4EVzlQWm6QshWGKKE5EScgxuNzOXXr31puwkq0N2jRN0RnXB8kxoTDDNArPfwlr1_su7iaHJJ4zxFhU3WxVOv4xeFPJpbdt4TcSQTnglgNu-YVbfuOWn7ij_2yX0qvWlD_uHd8omG0FJkJZW-Nl0HZAXNqIeyVLZ_8cJbaTVFv_c8sP646hrQ</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>Tjalma, W. 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A. A.</au><au>Winter-Roach, B. A.</au><au>Rowlands, P.</au><au>De Barros Lopes, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Port-site recurrence following laparoscopic surgery in cervical cancer</atitle><jtitle>International journal of gynecological cancer</jtitle><addtitle>Int J Gynecol Cancer</addtitle><date>2001-09</date><risdate>2001</risdate><volume>11</volume><issue>5</issue><spage>409</spage><epage>412</epage><pages>409-412</pages><issn>1048-891X</issn><eissn>1525-1438</eissn><abstract>Port-site metastasis (PSM) after laparoscopic lymphadenectomy in cervical cancer is a new phenomenon. This situation creates potential therapeutic difficulties, especially in node-negative and early stages of disease. 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| ispartof | International journal of gynecological cancer, 2001-09, Vol.11 (5), p.409-412 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Carcinoma, Squamous Cell - secondary Carcinoma, Squamous Cell - surgery Cervical cancer Fatal Outcome Female Humans Laparoscopy Laparoscopy - adverse effects Lymph Node Excision - adverse effects Lymphatic system Metastasis Neoplasm Recurrence, Local Neoplasm Seeding Port-site recurrence Skin Neoplasms - secondary Skin Neoplasms - surgery Surgery Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - surgery |
| title | Port-site recurrence following laparoscopic surgery in cervical cancer |
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