Portsite recurrence after laparoscopy for staging of retroperitoneal sarcoma.
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.
Clark
Matthew A
MA
Thomas
J Meirion
JM
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*