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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2019
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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. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-6700429 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT sugarbakerpaulh portsiterecurrenceanunintendedconsequenceoflaparoscopicresectionofovariancanceracasereport |