Cited by 115Endometrial and Cervical Cancer TreatmentsMinimally Invasive Surgical TechniquesMetastasis and carcinoma case studies

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Port Site Metastasis after Laparoscopic-Assisted Vaginal Hysterectomy for Endometrial Cancer: Possible Mechanisms and Prevention

Wang, Peng-Hui, Yen, Ming-Shyen, Yuan, Chiou-Chung, Chao, Kuan-Chong, Ng, Heung-Tat, Lee, Wen-Ling, Chao, Hsiang-Tai·1997·Gynecologic Oncology

DOI 10.1006/gyno.1997.4717

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Abstract

Only 19 cases of metastases at the cannula insertion site after laparoscopy for gynecological malignancy have been reported in the literature. One case has been diagnosed with cervical squamous cell carcinoma, whereas the others have been diagnosed with ovarian cancer and borderline ovarian tumor. We present a novel case of laparoscopy-site abdominal wall metastasis from endometrial cancer after laparoscopic-assisted vaginal hysterectomy (LAVH). The 56-year-old female patient exhibited metastases of an abdominal wall trocar site and a perineal site after undergoing LAVH and laparoscopic-assisted (LA) bilateral pelvic lymph node sampling as well as LA para-aortic lymph node sampling for treating endometrial carcinoma, surgical staging IIIC, G3. The interval between the surgical extirpation of endometrial carcinoma and diagnosis of the tumor recurrence was 6 months, suggesting that overmanipulation of the diseased organ during laparoscopic surgery may have resulted in tumor spillage, intraperitoneal dissemination, and wound contamination. Although this procedure has been proven beneficial to patients with benign disease or early-stage gynecologic malignancies, laparoscopic-assisted vaginal hysterectomy may not be efficacious to eradicate advanced gynecological malignancy.

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Authors: Wang, P.-H., Yen, M.-S., Yuan, C.-C., Chao, K.-C., Ng, H.-T., Lee, W.-L., & Chao, H.-T.
Affiliations: Taipei Veterans General Hospital (TW)
ORCID: Wang, Peng-Hui
Yen, Ming-Shyen
Chao, Hsiang-Tai
Venue: Gynecologic Oncology
Publisher: Elsevier BV
Published: 1997-07
Volume: 66
Issue: 1
Pages: 151-155
ISSN: 0090-8258 (ISSN-L)
DOI: 10.1006/gyno.1997.4717
OpenAlex: W2004615461
Cited by: 115
References: 26
Citations by year: 2024: 2 · 2022: 4 · 2020: 1 · 2019: 2 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 6
FWCI: 11.51
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Gynecologic Oncology (publishedVersion)
PubMed (publishedVersion)
Funders: National Science Council
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Metastasis and carcinoma case studies
Keywords: port-site metastasis, endometrial cancer, laparoscopic-assisted vaginal hysterectomy, abdominal wall metastasis, perineal metastasis, tumor spillage, intraperitoneal dissemination, wound contamination, advanced endometrial cancer
MeSH terms: Abdominal Muscles, Female, Humans, Hysterectomy, Vaginal, Middle Aged, Perineum, Laparoscopy, Endometrial Neoplasms, Muscle Neoplasms

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Port Site Metastasis after Laparoscopic-Assisted Vaginal Hysterectomy for Endometrial Cancer: Possible Mechanisms and Prevention

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