Bilal Sert1. 1. Department of Gynaecological Oncology, Norwegian Radium Hospital, University of Oslo, Montebello N-0310, Oslo, Norway. bsert@online.no
Abstract
BACKGROUND: Port-site metastasis (PSM) following minimally invasive surgery for gynaecological cancer has been recognized as a potential problem over the last two decades. METHODS: A 60 year-old woman with stage Ib1 adenocarcinoma of the cervix was treated with radical hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection, using robot-assisted laparoscopy. RESULTS: Eighteen months after primary surgery, the patient developed a pelvic recurrence invading both the bladder mucosa and the parametrium. During the routine recurrence work-up, we found an 8 mm robotic port-site metastasis (PSM) on the abdominal computed tomography (CT) scan. CONCLUSION: This is the first case report emphasizing the risk of PSM and early pelvic recurrences in robot-assisted laparoscopic radical hysterectomy and bilateral pelvic lymph node dissection for an early-stage cervical adenocarcinoma patient with negative lymph nodes, histologically examined by immunohistochemical ultrastaging. (c) 2010 John Wiley & Sons, Ltd.
BACKGROUND: Port-site metastasis (PSM) following minimally invasive surgery for gynaecological cancer has been recognized as a potential problem over the last two decades. METHODS: A 60 year-old woman with stage Ib1adenocarcinoma of the cervix was treated with radical hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection, using robot-assisted laparoscopy. RESULTS: Eighteen months after primary surgery, the patient developed a pelvic recurrence invading both the bladder mucosa and the parametrium. During the routine recurrence work-up, we found an 8 mm robotic port-site metastasis (PSM) on the abdominal computed tomography (CT) scan. CONCLUSION: This is the first case report emphasizing the risk of PSM and early pelvic recurrences in robot-assisted laparoscopic radical hysterectomy and bilateral pelvic lymph node dissection for an early-stage cervical adenocarcinomapatient with negative lymph nodes, histologically examined by immunohistochemical ultrastaging. (c) 2010 John Wiley & Sons, Ltd.
Authors: Bih T Ndofor; Pamela T Soliman; Kathleen M Schmeler; Alpa M Nick; Michael Frumovitz; Pedro T Ramirez Journal: Int J Gynecol Cancer Date: 2011-07 Impact factor: 3.437
Authors: Eun Ji Nam; Sang Wun Kim; Maria Lee; Ga Won Yim; Ji Heum Paek; San Hui Lee; Sunghoon Kim; Jae Hoon Kim; Jae Wook Kim; Young Tae Kim Journal: J Gynecol Oncol Date: 2011-06-30 Impact factor: 4.401