Port-site metastases of adenocarcinoma of the fallopian tube after laparoscopically assisted vaginal hysterectomy and salpingo-oophorectomy.
Port-site metastases following laparoscopic surgery for cancer constitute an emerging problem. We report a case of cutaneous metastasis at a port site following laparoscopically assisted vaginal hysterectomy and salpingo-oophorectomy for unsuspected adenocarcinoma of the fallopian tube. This complication occurred 7 months postoperatively and was treated with resection. A single site was involved. Possible etiologies are implantation from "contaminated" instruments or dissemination of tumor cells by the positive-pressure pneumoperitoneum. Preventive measures include precise and clean surgical technique, the use of a nonporous bag, postoperative trocar-site excision or irradiation, and conversion to laparotomy either intra- or postoperatively.
Bacha
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EA
Department of Surgery, Emory University Hospital, Emory University School of Medicine, 1364 Clifton Road N.E., Atlanta, GA 30322, USA.
Barber
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Ratchford
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D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D005185:Fallopian Tube Neoplasms / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy / Q000009:adverse effects*; D009366:Neoplasm Seeding; D010052:Ovariectomy; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D012878:Skin Neoplasms / Q000556:secondary*