H Matsushita1, T Takayanagi2, H Ikarashi2, M Fukase3. 1. Department of Obstetrics and Gynecology,Tsuruoka Municipal Shonai Hospital, Tsuruoka-city, Yamagata, Japan. hirosm@aichi-med-u.ac.jp 2. Department of Obstetrics and Gynecology,Tsuruoka Municipal Shonai Hospital, Tsuruoka-city, Yamagata, Japan. 3. Department of Pathology, Tsuruoka Municipal Shonai Hospital, Tsuruoka-city, Yamagata, Japan.
Abstract
BACKGROUND: Metastasis to a trocar tract (port-site metastasis, PSM) is an uncommon but serious complication that possibly compromises the prognosis of cancer patients treated laparoscopically. CASE: A 42-year-old Japanese woman had a 20-cm benign right ovarian cyst resected using gasless lift-laparoscopy. Five years and eight months postoperatively, she noticed a three-cm subcutaneous tumor involving the trocar tract. She was also found to have a pelvic mass and an exploratory laparotomy revealed left ovarian cancer. Based on the histopathological findings, the subcutaneous tumor was diagnosed as a metastasis from the ovarian cancer. CONCLUSIONS: This case suggested that PSM could occur without direct or indirect wound contamination during laparoscopic surgery.
BACKGROUND: Metastasis to a trocar tract (port-site metastasis, PSM) is an uncommon but serious complication that possibly compromises the prognosis of cancerpatients treated laparoscopically. CASE: A 42-year-old Japanese woman had a 20-cm benign right ovarian cyst resected using gasless lift-laparoscopy. Five years and eight months postoperatively, she noticed a three-cm subcutaneous tumor involving the trocar tract. She was also found to have a pelvic mass and an exploratory laparotomy revealed left ovarian cancer. Based on the histopathological findings, the subcutaneous tumor was diagnosed as a metastasis from the ovarian cancer. CONCLUSIONS: This case suggested that PSM could occur without direct or indirect wound contamination during laparoscopic surgery.
Authors: I Grammatikakis; P Trompoukis; S Zervoudis; C Mavrelos; P Economides; V Tziortzioti; N Evangelinakis; D Kassanos Journal: Diagn Ther Endosc Date: 2015-02-11