Ovarian cancer presenting as a metastasis to a trocar tract used for a gasless lift-laparoscopy to resect a benign ovarian cyst: an unusual case report

Metastasis to a trocar tract (port-site metastasis, PSM) is an uncommon but serious complication that possibly compromises the prognosis of cancer patients treated laparoscopically. A 42-year-old Japanese woman had a 20-cm benign right ovarian cyst resected using gasless lift-laparoscopy. Five years...

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Bibliographic Details
Published in:European journal of gynaecological oncology 2013, Vol.34 (5), p.480-483
Main Authors: Matsushita, H, Takayanagi, T, Ikarashi, H, Fukase, M
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Laparoscopy - instrumentation
Laparoscopy - methods
Neoplasm Metastasis
Ovarian Cysts - surgery
Ovarian Neoplasms - pathology
Surgical Instruments
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Summary:Metastasis to a trocar tract (port-site metastasis, PSM) is an uncommon but serious complication that possibly compromises the prognosis of cancer patients treated laparoscopically. A 42-year-old Japanese woman had a 20-cm benign right ovarian cyst resected using gasless lift-laparoscopy. Five years and eight months postoperatively, she noticed a three-cm subcutaneous tumor involving the trocar tract. She was also found to have a pelvic mass and an exploratory laparotomy revealed left ovarian cancer. Based on the histopathological findings, the subcutaneous tumor was diagnosed as a metastasis from the ovarian cancer. This case suggested that PSM could occur without direct or indirect wound contamination during laparoscopic surgery.
ISSN:0392-2936