title: Portsite recurrence after laparoscopy for staging of retroperitoneal sarcoma.
abstract: A 40-year-old woman underwent diagnostic and staging laparoscopy for a 12 cm retroperitoneal tumor, during which large-core biopsy was performed, which revealed an intermediate-grade leiomyosarcoma. Subsequent open resection (with en bloc resection of pancreatic tail and left kidney) was performed in a specialist unit. Complete tumor clearance was obtained with negative microscopic margins. Nine months later a laparoscopic portsite recurrence was detected clinically and confirmed histologically at resection. Laparoscopy is an unnecessary and inappropriate investigation in retroperitoneal soft-tissue sarcoma.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Clark
authors.forename: J Meirion
authors.initials: JM
authors.lastname: Thomas
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D009366:Neoplasm Seeding; D009367:Neoplasm Staging / Q000009:adverse effects*; D012186:Retroperitoneal Neoplasms / Q000473:pathology*; D012509:Sarcoma / Q000473:pathology*