title: Port-site metastasis after laparoscopic extraperitoneal paraaortic lymphadenectomy for stage IIb squamous cell carcinoma of the cervix.
abstract: We report a case of port-site metastasis near the optic trocar site after extraperitoneal laparoscopic lymphadenectomy for cervical carcinoma. A 42-year-old woman with International Federation of Gynecology and Obstetrics clinical stage IIb squamous cell carcinoma of the cervix was evaluated with laparoscopic extraperitoneal paraaortic lymphadenectomy for staging. The aortic nodes were positive. The patient was treated with chemotherapy and radiotherapy. Then brachytherapy was performed. The patient was treated with 6 cycles of weekly topotecan. At month 12, a 4-cm left retroperitoneal mass was detected and excised. Pathologic examination showed an invasive squamous cell carcinoma with tumor-positive margins. Laparoscopic surgery for cancer may result in iatrogenic metastases at the port sites. But all of the port-site recurrence can not be explained by current factors leading to tumor metastases.
authors.affiliation: Department of Obstetrics and Gynecology, Gülhane Military Medical Academy, Ankara, Turkey.
authors.forename: Müfit Cemal
authors.initials: MC
authors.lastname: Yenen
authors.forename: Murat
authors.initials: M
authors.lastname: Dede
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alanbay
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ustün
authors.forename: Murat
authors.initials: M
authors.lastname: Gültekin
authors.forename: Ali
authors.initials: A
authors.lastname: Ayhan
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D009366:Neoplasm Seeding; D012186:Retroperitoneal Neoplasms / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*