Abdominal wall port site metastasis after robotically staged endometrial carcinoma: A case report

Nguyen, My-Linh Thi; Friedman, J.; Pradhan, T.; Tedjarati, Sean S.

doi:10.1016/j.ijscr.2013.04.006

Cited by 8 publications

(5 citation statements)

References 4 publications

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“…Nguyen et al reported one patient with endometrial adenocarcinoma who underwent robotic-assisted laparoscopic hysterectomy, recurrent abdominal wall masses imbedded within the fascia were close to the primary port sites. 24 The metastatic masses at the puncture points were located in both groins and muscles in the ovarian cancer patients we reported. The causes of tumor metastasis in these two locations were related to the above factors.…”

Section: Discussionmentioning

confidence: 79%

Port Site Metastasis After Minimally Invasive Surgery in Gynecologic Malignancies: Two Case Reports and a Review of the Literature

Yu¹,

Zhou²,

Sun³

et al. 2023

IJWH

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Port site metastasis (PSM) is considered an uncommon and rare complication in gynecologic malignancies with unclear treatment recommendations or guidelines. Thus, we report the treatment strategies and outcomes of two cases of PSMs following gynecologic malignancies and a review of the literature to provide much information about the most frequent sites of PSMs and the incidence of PSMs in different gynecological tumors. A 57-year-old woman underwent laparoscopic radical surgery for right ovarian serous carcinoma in June 2016 followed by postoperative chemotherapy. Because PSMs were present near the port site of the bilateral iliac fossa, the tumors were completely removed on August 4, 2020, and the patient received chemotherapy. She has shown no signs of relapse. During the same period, a 39-year-old woman underwent laparoscopic type II radical hysterectomy for endometrial adenocarcinoma involving the endometrium and cervix on May 4, 2014, without adjuvant treatment. In July 2020, a subcutaneous mass under her abdominal incision was removed, and chemotherapy plus radiotherapy was administered. Metastasis was found in the left lung in September 2022, but there was no abnormality in the abdominal incision. We showed the two cases of PSMs, reviewed articles to provide some new insights about the incidences of PSMs in the gynecologic tumors, and discussed the proper preventive strategies.

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Section: Discussionmentioning

confidence: 79%

Port Site Metastasis After Minimally Invasive Surgery in Gynecologic Malignancies: Two Case Reports and a Review of the Literature

Yu¹,

Zhou²,

Sun³

et al. 2023

IJWH

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show abstract

“…The performed search in PubMed, Scopus, and Cochrane Library revealed a total of 36, 36, and 2 search results, respectively, among which 10 studies (3 case series and 7 case reports) were identified as eligible for inclusion in this review, according to the aforementioned inclusion criteria [4][5][6][7][8][9][10][11][12][13]. No additional studies were identified through the search of references of the included studies.…”

Section: Resultsmentioning

confidence: 99%

Port-site metastases in patients with gynecological cancer after robot-assisted operations

Iavazzo

Gkegkes

2015

Arch Gynecol Obstet

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Robotic surgery is a rather new technique and port-site metastasis is a rare complication of it. Due to this fact, we could not reach safe conclusions. The purpose of this study was to raise doctor's clinical suspicion level to such a rare complication. Additional studies should be performed with the intention to clarify both port-site metastasis rates in gynecological oncology patients, as well as to elucidate the possible mechanisms of this type of local recurrence.

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“…Therefore, metastatic spread to the abdominal wall is a relatively rare event in early-stage EC. In recent years, with the wide application of laparoscopic technology, increasing port site metastasis has been identified, with an estimated occurrence of 0.18%-0.33% in early-stage EC[ 6 - 10 ].…”

Section: Discussionmentioning

confidence: 99%

Plastic surgery for giant metastatic endometrioid adenocarcinoma in the abdominal wall: A case report and review of literature

Wang¹,

Wang²,

Liang³

et al. 2022

WJCC

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BACKGROUND Endometrial cancer (EC) is a common gynecological malignancy, but metastasis to the abdominal wall is extremely rare. Therefore, an appropriate treatment approach for large metastatic lesions with infection remains a great challenge. CASE SUMMARY We report the case of a 65-year-old woman who developed abdominal metastasis of endometrioid adenocarcinoma, as defined by International Obstetrics and Gynecology stage II, in which the lesion was complicated by infection. A right hemicolectomy was performed for colon metastasis in relation to her initial gynecological cancer 3 years ago. When admitted to our department, a complete resection of the giant abdominal wall lesion was performed, and a Bard composite mesh was used to reconstruct the abdominal wall. A local flap was used to close the resultant large defect in the external covering of the abdomen. The patient underwent chemotherapy following cytoreductive surgery. Pathology revealed metastasis of EC, and molecular subtyping showed copy number high of TP53 mutation, implying a poor prognosis. CONCLUSION When EC patients develop giant abdominal wall metastasis, a plastic surgeon should be included before contemplating resection of tumors.

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Abdominal wall port site metastasis after robotically staged endometrial carcinoma: A case report

Abstract: This is the second reported case of port-site metastasis following robotic surgery for endometrial cancer.

Cited by 8 publications

References 4 publications

Port Site Metastasis After Minimally Invasive Surgery in Gynecologic Malignancies: Two Case Reports and a Review of the Literature

Port Site Metastasis After Minimally Invasive Surgery in Gynecologic Malignancies: Two Case Reports and a Review of the Literature

Port-site metastases in patients with gynecological cancer after robot-assisted operations

Plastic surgery for giant metastatic endometrioid adenocarcinoma in the abdominal wall: A case report and review of literature

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