Portsite metastasis of adenocarcinoma after laparoscopic cholecystectomy with an unknown primary tumor: a case report

Port site metastasis of adenocarcinoma after laparoscopic cholecystectomy with an unknown primary tumor is rare. To the best of our knowledge, there are only four such cases reported worldwide. We report a woman in her 70s with cholecystitis who underwent laparoscopic cholecystectomy. Intraoperative...

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Bibliographic Details
Published in:Journal of international medical research 2023-05, Vol.51 (5), p.3000605231172445-3000605231172445
Main Authors: Lu, Jun, Zhou, Weijiang, Zhou, Lixin
Format: Article
Language:English
Subjects:
Adenocarcinoma - pathology
Case Reports
Cholecystectomy
Cholecystectomy, Laparoscopic
Female
Gallbladder Neoplasms - pathology
Gallbladder Neoplasms - surgery
Humans
Neoplasm Seeding
Neoplasms, Unknown Primary - surgery
Tumors
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Summary:Port site metastasis of adenocarcinoma after laparoscopic cholecystectomy with an unknown primary tumor is rare. To the best of our knowledge, there are only four such cases reported worldwide. We report a woman in her 70s with cholecystitis who underwent laparoscopic cholecystectomy. Intraoperative laparoscopic exploration did not reveal an abdominal tumor, and postoperative gallbladder pathology did not suggest malignancy. However, 11 months later, she developed an incisional mass in the epigastric port site. In another 6 months, magnetic resonance imaging revealed an abdominal wall tumor. Therefore, she underwent radical resection of the subcutaneous tumor, and postoperative pathology revealed adenocarcinoma. However, no primary tumor was found after systemic imaging examination.
ISSN:0300-0605
1473-2300
DOI:10.1177/03000605231172445