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Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report

BACKGROUND: Cancer surgery has as its goal complete clearance and absolute containment of the malignant disease as it is being resected. Any aspect of the procedure which allows the escapes of malignant cells may result in disease recurrence. METHODS: The patient presented to an emergency room with...

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Autor principal: Sugarbaker, Paul H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700429/
https://www.ncbi.nlm.nih.gov/pubmed/31401352
http://dx.doi.org/10.1016/j.ijscr.2019.07.024
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author Sugarbaker, Paul H.
author_facet Sugarbaker, Paul H.
author_sort Sugarbaker, Paul H.
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description BACKGROUND: Cancer surgery has as its goal complete clearance and absolute containment of the malignant disease as it is being resected. Any aspect of the procedure which allows the escapes of malignant cells may result in disease recurrence. METHODS: The patient presented to an emergency room with left-sided abdominal pain. Pelvic sonogram suggested the diagnosis of a ruptured left ovarian cyst. A uterine biopsy showed high grade serous carcinoma. Definitive treatment of the primary ovarian cancer wasen bloc laparoscopic resection of her uterus, Fallopian tube and ovaries. RESULTS: CT showed port site recurrence in both right and left upper abdominal trochar sites. The right-sided port site recurrence was through the fascia just lateral to the right rectus muscle and was small. A much larger port site metastases was present at the right trochar site that was through the left rectus muscle. CONCLUSION: The incidence of midline and lateral port site recurrence after laparoscopy for diagnosis or resection of ovarian cancer has not been determined. Limitation of trochar sites to the midline may reduce the extent of abdominal wall disease spread.
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spelling pubmed-67004292019-08-26 Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report Sugarbaker, Paul H. Int J Surg Case Rep Article BACKGROUND: Cancer surgery has as its goal complete clearance and absolute containment of the malignant disease as it is being resected. Any aspect of the procedure which allows the escapes of malignant cells may result in disease recurrence. METHODS: The patient presented to an emergency room with left-sided abdominal pain. Pelvic sonogram suggested the diagnosis of a ruptured left ovarian cyst. A uterine biopsy showed high grade serous carcinoma. Definitive treatment of the primary ovarian cancer wasen bloc laparoscopic resection of her uterus, Fallopian tube and ovaries. RESULTS: CT showed port site recurrence in both right and left upper abdominal trochar sites. The right-sided port site recurrence was through the fascia just lateral to the right rectus muscle and was small. A much larger port site metastases was present at the right trochar site that was through the left rectus muscle. CONCLUSION: The incidence of midline and lateral port site recurrence after laparoscopy for diagnosis or resection of ovarian cancer has not been determined. Limitation of trochar sites to the midline may reduce the extent of abdominal wall disease spread. Elsevier 2019-07-19 /pmc/articles/PMC6700429/ /pubmed/31401352 http://dx.doi.org/10.1016/j.ijscr.2019.07.024 Text en © 2019 The Author http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sugarbaker, Paul H.
Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title_full Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title_fullStr Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title_full_unstemmed Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title_short Port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. A case report
title_sort port site recurrence, an unintended consequence of laparoscopic resection of ovarian cancer. a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700429/
https://www.ncbi.nlm.nih.gov/pubmed/31401352
http://dx.doi.org/10.1016/j.ijscr.2019.07.024
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