Port-site Metastasis after Laparoscopic Extraperitoneal Paraaortic Lymphadenectomy for Stage IIb Squamous Cell Carcinoma of the Cervix


Yenen M. C. , Dede M., ALANBAY İ. , Üstün Y., Gültekin M., Ayhan A.

Journal of Minimally Invasive Gynecology, vol.16, no.2, pp.227-230, 2009 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 2
  • Publication Date: 2009
  • Doi Number: 10.1016/j.jmig.2008.12.010
  • Title of Journal : Journal of Minimally Invasive Gynecology
  • Page Numbers: pp.227-230
  • Keywords: Port-site metastasis, Extraperitoneal lymphadenectomy, Squamous cell carcinoma, Cervix, NEGATIVE LYMPH-NODES, GYNECOLOGICAL MALIGNANCIES, PELVIC LYMPHADENECTOMY, UMBILICAL METASTASIS, CANCER, RECURRENCE, SURGERY

Abstract

We report a case of port-site metastasis near the optic trocar site after extraperitoneal laparoscopic lymphadenectomy for cervical carcinoma. A 42-year-old woman with International Federation of Gynecology and Obstetrics clinical stage IIb squamous cell carcinoma of the cervix was evaluated with laparoscopic extraperitoneal paraaortic lymphadenectomy for staging. The aortic nodes were positive. The patient was treated with chemotherapy and radiotherapy. Then brachytherapy was performed. The patient was treated with 6 cycles of weekly topotecan. At month 12, a 4-cm left retroperitoneal mass was detected and excised. Pathologic examination showed an invasive squamous cell carcinoma with tumor-positive margins. Laparoscopic surgery for cancer may result in iatrogenic metastases at the port sites. But all of the port-site recurrence can not be explained by current factors leading to tumor metastases. © 2009 AAGL.