Isolated port site recurrence of node-negative clinical stage IB1 cervical adenocarcinoma.
BACKGROUND
Port site metastasis after laparoscopic surgery for cervical cancer is a rare phenomenon.


METHODS
We present a case report of isolated port site recurrence 4 years following laparoscopic surgery in a patient with node-negative, clinical stage IB1 cervical adenocarcinoma.


RESULTS
A 44 year-old woman presented with a necrotic cervical lesion. A biopsy of the mass revealed invasive endocervical adenocarcinoma. She underwent a robotic-assisted radical hysterectomy, bilateral salpingectomy, and pelvic lymph node dissection with bilateral oophoropexy. All lymph nodes were placed in an Endocatch bag prior to removal via the 12 mm assistant port. There was no clinical evidence of metastatic disease and final pathology revealed negative surgical margins and lymph nodes. Four years later, she re-presented with a soft tissue mass in her abdominal wall underlying the site of the prior laparoscopic assistant port. This was confirmed by transcutaneous biopsy to be metastatic adenocarcinoma of endocervical origin. Further work-up revealed no other evidence of metastatic disease. The recurrence was excised and all margins were negative.


CONCLUSIONS
This is the first case report describing an isolated port site recurrence in a patient who underwent robotic-assisted laparoscopic surgery for early-stage cervical adenocarcinoma with negative margins and negative lymph nodes. The mechanism underlying this isolated recurrence remains unknown.
Yale School of Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, New Haven, CT 06510, USA.
Uma
U
Deshmukh
Yale School of Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, New Haven, CT 06510, USA.
Molly
M
McAdow
Yale School of Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, New Haven, CT 06510, USA.
Jonathan
J
Black
Yale School of Medicine, Department of Pathology, 333 Cedar Street, New Haven, CT 06510, USA.
Pei
P
Hui
Yale School of Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, New Haven, CT 06510, USA.
Masoud
M
Azodi
Cervical cancer; Laparoscopy; Minimally invasive; Port-site; Recurrent