Peritoneal carcinomatosis after laparoscopic radical hysterectomy for early-stage cervical adenocarcinoma.
BACKGROUND
The risk of wound metastasis after laparoscopic management of early-stage cervical cancer is well known, but there are few data on peritoneal carcinomatosis of cervical adenocarcinoma.


METHODS
We report the first case of peritoneal carcinomatosis occurring in a woman with FIGO stage Ib1 cervical adenocarcinoma who underwent laparoscopic type III radical hysterectomy and bilateral pelvic lymphadenectomy (sentinel node procedure) followed by vaginal brachytherapy. A peritoneal recurrence was diagnosed 16 months after surgery and was treated with chemotherapy and laparotomy.


CONCLUSIONS
Laparoscopy for cervical adenocarcinoma may carry a risk of peritoneal dissemination.
Belval
Camille Challan
CC
Service de Gynécologie-Obstétrique, Hôpital Tenon, Faculté Saint-Antoine, Assistance Publique des Hôpitaux de Paris, CancerEst, Université Pierre et Marie Curie-Paris6, 4 rue de la Chine, 75020 Paris, France.
Barranger
Emmanuel
E
Dubernard
Gil
G
Touboul
Emmanuel
E
Houry
Sidney
S
Daraï
Emile
E
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000009:adverse effects; D010534:Peritoneal Neoplasms / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*