Subcutaneous periumbilical metastasis of a gallbladder carcinoma after laparoscopic cholecystectomy.
The frequency of gallbladder carcinoma is 1.2 to 7.4% of all cholecystectomy specimens. In open cholecystectomy for gallstone disease, undetected gallbladder carcinoma is found postoperatively in the histological examination in 0.3%. Tumor cells of these clinically inapparent gallbladder carcinomas can be implanted at the trocar sites during laparoscopic cholecystectomies. We report a case with subcutaneous tumor seeding at the navel trocar insertion site in a 65-year-old woman.
Baer
H U
HU
Department of Visceral and Transplantation Surgery, University of Bern, Inselspital, Switzerland.
Metzger
A
A
Glättli
A
A
Klaiber
C
C
Ruchti
C
C
Czerniak
A
A
D000009:Abdominal Muscles; D000368:Aged; D018196:Carcinoma, Adenosquamous / Q000556:secondary* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D009366:Neoplasm Seeding; D012086:Reoperation; D012983:Soft Tissue Neoplasms / Q000556:secondary* / Q000601:surgery