title: Isolated port-site metastasis after surgical staging for low-risk endometrioid endometrial cancer: A case report.
abstract: Port-site metastases (PSMs) are well-known potential complications of laparoscopic surgery for gynaecologic malignancies. The present case study reports PSM following laparoscopic surgery for Stage IA Grade 1 endometrioid endometrial cancer (EEC). The recurrence developed within 7 months following primary surgery and required surgical excision followed by adjuvant chemo-radio therapy. After 9 months, the patient remains disease-free. PSMs are rare complications following laparoscopic surgery. Amongst the 23 cases of endometrial cancer PSMs reported so far, only 4 followed EEC Stage IA Grade 1-2. The present study reports a rare case of PSM after Stage IA Grade 1 EEC. The clinical and prognostic relevance of PSMs has not been identified so far; and it is not known whether PSMs represent a local recurrence or a systemic recurrence. Surgeons should be aware that even low-risk EEC may be followed by PSMs and should take steps to prevent these rare recurrences.
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Mautone
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Dall'asta
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Monica
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Letizia
authors.initials: L
authors.lastname: Galli
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Vito Andrea
authors.initials: VA
authors.lastname: Capozzi
authors.affiliation: Department of Surgical Sciences, Gastrointestinal Surgery Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Marchesi
authors.affiliation: Department of Biomedical, Biotechnological and Translational Sciences, Pathological Anatomy and Histology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Giordano
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma I-43126, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Berretta
keywords: endometrial cancer; gynecology oncology; laparoscopy; port-site metastasis