Laparoscopic port-site recurrence following surgery for a stage IB squamous cell carcinoma of the cervix with negative lymph nodes

被引:32
作者
Kohlberger, PD [1 ]
Edwards, L [1 ]
Collins, C [1 ]
Milross, C [1 ]
Hacker, NF [1 ]
机构
[1] Royal Hosp Women, Gynaecol Canc Ctr, Randwick, NSW 2031, Australia
关键词
port-site metastasis; laparoscopy; cervical cancer;
D O I
10.1006/gyno.2000.5932
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background. Port-site metastases are commonly reported after laparoscopic surgery for ovarian cancer, but have also been reported in patients with cervical or endometrial cancer with positive lymph nodes. Recently, a case of port-site recurrence after laparoscopic surgery for a patient with node-negative early-stage adenocarcinoma of the cervix was reported. We report the first case of port-site metastasis in a patient with stage IB squamous cell carcinoma of the cervix with negative lymph nodes. Case. A 31-year-old woman had a laparoscopy for pelvic pain. Under anesthesia, she was noted to have a grossly abnormal-looking cervix and a biopsy revealed squamous cell carcinoma. She was referred to a gynecological oncologist and underwent radical hysterectomy and pelvic lymph node dissection through a transverse lower abdominal incision 6 weeks later. Nineteen months postoperatively, she presented with a soft tissue mass in a suprapubic laparoscopic trocar site. Conclusion. It is postulated that cells dislodged at the time of cervical manipulation and biopsy may have passed through the fallopian tubes and implanted in the laparoscopic port site due to the "chimney effect" caused by the pneumoperitoneum. (C) 2000 Academic Press.
引用
收藏
页码:324 / 326
页数:3
相关论文
共 9 条
[1]   ABDOMINAL-WALL METASTASES FROM OVARIAN-CANCER AFTER LAPAROSCOPY [J].
GLEESON, NC ;
NICOSIA, SV ;
MARK, JE ;
HOFFMAN, MS ;
CAVANAGH, D .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 169 (03) :522-523
[2]   Port-site recurrences following laparoscopic operations for gynaecological malignancies [J].
Kadar, N .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (11) :1308-1313
[3]   Laparoscopic port-site metastasis of an early stage adenocarcinoma of the cervix with negative lymph nodes [J].
Lavie, O ;
Cross, PA ;
Beller, U ;
Dawlatly, B ;
Lopes, A ;
Monaghan, JM .
GYNECOLOGIC ONCOLOGY, 1999, 75 (01) :155-157
[4]   An umbilical metastasis after laparoscopy for squamous cell carcinoma of the cervix [J].
Naumann, RW ;
Spencer, S .
GYNECOLOGIC ONCOLOGY, 1997, 64 (03) :507-509
[5]   Tumor seeding following laparoscopy: International survey [J].
Paolucci, V ;
Schaeff, B ;
Schneider, M ;
Gutt, C .
WORLD JOURNAL OF SURGERY, 1999, 23 (10) :989-997
[6]  
PATSNER B, 1992, FERTIL STERIL, V58, P1248
[7]   Port site metastasis after laparoscopic-assisted vaginal hysterectomy for endometrial cancer: Possible mechanisms and prevention [J].
Wang, PH ;
Yen, MS ;
Yuan, CC ;
Chao, KC ;
Ng, HT ;
Lee, WL ;
Chao, HT .
GYNECOLOGIC ONCOLOGY, 1997, 66 (01) :151-155
[8]   Risk factors contributing to early occurrence of port site metastases of laparoscopic surgery for malignancy [J].
Wang, PH ;
Yuan, CC ;
Lin, G ;
Ng, HT ;
Chao, HT .
GYNECOLOGIC ONCOLOGY, 1999, 72 (01) :38-44
[9]  
Wang PH, 1997, J REPROD MED, V42, P801