title: Peritoneal carcinomatosis after laparoscopic radical hysterectomy for early-stage cervical adenocarcinoma.
abstract: 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.
authors.affiliation: 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.
authors.forename: Camille Challan
authors.initials: CC
authors.lastname: Belval
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Barranger
authors.forename: Gil
authors.initials: G
authors.lastname: Dubernard
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Touboul
authors.forename: Sidney
authors.initials: S
authors.lastname: Houry
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
mesh_terms: 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*