Port site metastases

Case contributed by Dr Francesco Gabbrielli

Presentation

Recurrent high grade endometrial clear cell carcinoma. Previous laparoscopic hysterectomy and bilateral salpingo-oophorectomy.

Patient Data

Age: 60-70
Gender: Female

CT Pelvis

Modality: CT

Ill defined soft tissues lesions noted in the anterior abdominal wall muscles and subcutaneous tissues, corresponding to the sites of the laparoscopic instrument ports, in keeping port site metastatic recurrence. 

Case Discussion

Port-site metastasis after laparoscopic and robotic surgeries for gynecologic cancers is rare. Port-site metastasis risk is ~1% for all laparoscopic cancer surgeries with a risk of ~0.05% for endometrial cancer. 

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Case Information

rID: 41730
Case created: 16th Dec 2015
Last edited: 16th Dec 2015
System: Gynaecology
Inclusion in quiz mode: Included

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