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J Korean Med Sci

Title:		Port-Site Metastasis of Uterine Carcinosarcoma after Laparoscopy
Author(s):		Tan Z; Li A; Chen L; Xu X; Fu C;
Address:		"Department of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. PLA Center of General Surgery, Chengdu Military General Hospital, Chengdu, China. Graduates Management Unit, Changhai Hospital, Second Military Medical University, Shanghai, China. Department of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. fugang416@126.com"
Journal Title:		J Korean Med Sci
Year:		2017
Volume:		32
Issue:		11
Page Number:		1891 - 1895
DOI:		10.3346/jkms.2017.32.11.1891
ISSN/ISBN:		1598-6357 (Electronic) 1011-8934 (Print) 1011-8934 (Linking)
Abstract:		"We report a case of port-site metastasis after laparoscopic surgery for early stage uterine carcinosarcoma (UCS) and review the related literature. A 53-year-old woman with suspected uterine malignance underwent a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy, infra-colic omentectomy, and pelvic lymphadenectomy resulting pathologically in a stage IA UCS. Twelve months later she developed a palpable abdominal-wall mass at the trocar site without other synchronous metastases. A mass resection was performed and it was pathologically diagnosed with port-site metastasis of UCS. When performing surgery for UCS, specimens should be carefully removed in case small pieces of the occult disseminated metastatic tissues are trapped between the outer surface of the trocar sleeve and the abdominal wall incisional canal. Despite the low incidence, a laparotomy might be considered rather than laparoscopy to prevent port-site metastasis and more gynecological oncology clinical practices might be relevant to the management of port-site metastasis"
Keywords:		"Abdominal Neoplasms/pathology/*secondary Carcinoma, Squamous Cell/pathology/secondary Carcinosarcoma/*pathology/surgery Female Fluorodeoxyglucose F18/chemistry Humans Immunohistochemistry Keratin-5/metabolism Laparoscopy Middle Aged Positron Emission Tomo;"
Notes:		"MedlineTan, Zhen Li, Ang Chen, Long Xu, XiaoWen Fu, ChuanGang eng Case Reports Korea (South) 2017/09/30 J Korean Med Sci. 2017 Nov; 32(11):1891-1895. doi: 10.3346/jkms.2017.32.11.1891"