Port Site Metastasis After Laparoscopy for Uterine Cervical Carcinoma

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2003 Aug 14

PMID 12915964

Citations 5

Authors

A Agostini

X Carcopino

F Franchi

L Cravello

F Lecuru

B Blanc

Affiliations

Soon will be listed here.

Abstract

Background: Aim of this study was to review cases reported of port-site recurrence (PSR) after laparoscopy for uterine cervical carcinoma.

Methods: A Medline computer database search from January 1980 to September 2002.

Results: We reported 13 cases published of PSR after laparoscopy for cervical carcinoma. The majority of them were squamous carcinoma (9/13 at least, 69%) and initial staging of disease was Ib (7/13 (54%)). Median of interval between laparoscopy and diagnostic of PSR was 7 months (min 1.5 month, max 48 months). Of 10 cases of laparoscopy with lymphadenectomy, in three cases (30%) nodes were not involved. PSR developed at the port through which tissues was extracted in four cases (30.1%) or another port in five cases (38.5%). At the time of PSR, five patients (38.5%) were free of disease.

Conclusions: PSR were reported after laparoscopy for lymphadenenectomy with or without hysterectomy and with or without node involvement. In some cases, umbilical metastases should not be systematically diagnosed as PSR and a diagnosis of Sister Mary Joseph's nodule may be discussed.

Citing Articles

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Early vulvar and umbilical incisional scar recurrence of cervical squamous cell carcinoma: Earlier than usually expected.

Ozcan H, Mustafa A, Bozdag Z, Sucu S, Ugur M, Balat O Turk J Obstet Gynecol. 2017; 14(2):141-144.

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Incisional site metastasis in a patient with cervical carcinoma: a case report and review of the literature.

Iavazzo C, Madhuri K, Tailor A, Butler-Manuel S Case Rep Obstet Gynecol. 2012; 2012:593732.

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The sentinel node in cervical cancer: scintigraphy and laparoscopic gamma probe-guided biopsy.

Wydra D, Sawicki S, Bandurski T Eur J Nucl Med Mol Imaging. 2005; 32(6):720-1.

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