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Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis?
We present a case of umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer. A 59-year-old woman with stage IIIB cervical adenocarcinoma underwent laparoscopic paraaortic lymphadenectomy as well as a conventional laparoscopy to assess the presence of p...
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| Published in: | Gynecologic oncology 2005-04, Vol.97 (1), p.292-295 |
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| container_title | Gynecologic oncology |
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| creator | Martínez-Palones, José M. Gil-Moreno, Antonio Pérez-Benavente, María A. Garcia-Giménez, A. Xercavins, Jordi |
| description | We present a case of umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer.
A 59-year-old woman with stage IIIB cervical adenocarcinoma underwent laparoscopic paraaortic lymphadenectomy as well as a conventional laparoscopy to assess the presence of peritoneal carcinomatosis. The pathologic examination revealed metastasis in one paraaortic node. Peritoneal cytology proved negative for malignant cells. Seven months after completion of chemoradiotherapy, the patient presented a 2.5-cm umbilical tumor involving the trocar tract together with recurrence of the cervical mass. Histological examination of the excised umbilical mass showed recurrence of the cervical adenocarcinoma, with strong peritumoral CD31 immunocytochemical expression.
The peritumoral increase in microvessel density and strong CD31 positivity suggests angiogenesis as a potential factor lead to seeding of tumor cells at the umbilical port. |
| doi_str_mv | 10.1016/j.ygyno.2004.11.056 |
| format | article |
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A 59-year-old woman with stage IIIB cervical adenocarcinoma underwent laparoscopic paraaortic lymphadenectomy as well as a conventional laparoscopy to assess the presence of peritoneal carcinomatosis. The pathologic examination revealed metastasis in one paraaortic node. Peritoneal cytology proved negative for malignant cells. Seven months after completion of chemoradiotherapy, the patient presented a 2.5-cm umbilical tumor involving the trocar tract together with recurrence of the cervical mass. Histological examination of the excised umbilical mass showed recurrence of the cervical adenocarcinoma, with strong peritumoral CD31 immunocytochemical expression.
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A 59-year-old woman with stage IIIB cervical adenocarcinoma underwent laparoscopic paraaortic lymphadenectomy as well as a conventional laparoscopy to assess the presence of peritoneal carcinomatosis. The pathologic examination revealed metastasis in one paraaortic node. Peritoneal cytology proved negative for malignant cells. Seven months after completion of chemoradiotherapy, the patient presented a 2.5-cm umbilical tumor involving the trocar tract together with recurrence of the cervical mass. Histological examination of the excised umbilical mass showed recurrence of the cervical adenocarcinoma, with strong peritumoral CD31 immunocytochemical expression.
The peritumoral increase in microvessel density and strong CD31 positivity suggests angiogenesis as a potential factor lead to seeding of tumor cells at the umbilical port.</description><subject>Abdominal Neoplasms - secondary</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - secondary</subject><subject>Adenocarcinoma - surgery</subject><subject>Angiogenesis</subject><subject>Cervical carcinoma</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Lymph Node Excision - adverse effects</subject><subject>Lymph Nodes - pathology</subject><subject>Lymph Nodes - surgery</subject><subject>Lymphatic Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Seeding</subject><subject>Paraaortic lymphadenectomy</subject><subject>Port-site metastasis</subject><subject>Retroperitoneal laparoscopy</subject><subject>Retroperitoneal Space</subject><subject>Umbilicus - pathology</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - surgery</subject><issn>0090-8258</issn><issn>1095-6859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNp9kEFr3DAQhUVoabZpf0Gh6NSb3Rnbku1CKSWkSSHQS3MWsjROtdiWK2kDvveHR8kutKfCwAzMe2-Yj7F3CCUCyo_7crvfFl9WAE2JWIKQZ2yH0ItCdqJ_wXYAPRRdJbpz9jrGPQDUgNUrdo6i7aHpcMf-3M2Dm5zRE58p6ZjLRa7HRIFPetXBR-NXZ3igFPxKwSW_UFbnldY-pLyatnn9pS0tZJKfNz76wA2Fh-dUo5c8f-Kap3AgvmZLEV2if859ecNejnqK9PbUL9jdt6uflzfF7Y_r75dfbwtTizYV1rbCgGzGAbRFGIXsEAaJJLAGC8NIXW7UN_1ordR11cu6haaqukYgWFNfsA_H3DX43weKSc0uGpomvZA_RCVbIRqoMAvro9Dk_2OgUa3BzTpsCkE9wVd79QxfPcFXiCrDz673p_jDMJP96znRzoLPRwHlJx8cBRWNo8zHupDZKevdfw88Aop4mn8</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>Martínez-Palones, José M.</creator><creator>Gil-Moreno, Antonio</creator><creator>Pérez-Benavente, María A.</creator><creator>Garcia-Giménez, A.</creator><creator>Xercavins, Jordi</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050401</creationdate><title>Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis?</title><author>Martínez-Palones, José M. ; Gil-Moreno, Antonio ; Pérez-Benavente, María A. ; Garcia-Giménez, A. ; Xercavins, Jordi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-dd75c064fb0ad10f56810b61e5130d0bfe80d0e949fdd6a329637042284510dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abdominal Neoplasms - secondary</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - secondary</topic><topic>Adenocarcinoma - surgery</topic><topic>Angiogenesis</topic><topic>Cervical carcinoma</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Lymph Node Excision - adverse effects</topic><topic>Lymph Nodes - pathology</topic><topic>Lymph Nodes - surgery</topic><topic>Lymphatic Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Seeding</topic><topic>Paraaortic lymphadenectomy</topic><topic>Port-site metastasis</topic><topic>Retroperitoneal laparoscopy</topic><topic>Retroperitoneal Space</topic><topic>Umbilicus - pathology</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez-Palones, José M.</creatorcontrib><creatorcontrib>Gil-Moreno, Antonio</creatorcontrib><creatorcontrib>Pérez-Benavente, María A.</creatorcontrib><creatorcontrib>Garcia-Giménez, A.</creatorcontrib><creatorcontrib>Xercavins, Jordi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gynecologic oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez-Palones, José M.</au><au>Gil-Moreno, Antonio</au><au>Pérez-Benavente, María A.</au><au>Garcia-Giménez, A.</au><au>Xercavins, Jordi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis?</atitle><jtitle>Gynecologic oncology</jtitle><addtitle>Gynecol Oncol</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>97</volume><issue>1</issue><spage>292</spage><epage>295</epage><pages>292-295</pages><issn>0090-8258</issn><eissn>1095-6859</eissn><abstract>We present a case of umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer.
A 59-year-old woman with stage IIIB cervical adenocarcinoma underwent laparoscopic paraaortic lymphadenectomy as well as a conventional laparoscopy to assess the presence of peritoneal carcinomatosis. The pathologic examination revealed metastasis in one paraaortic node. Peritoneal cytology proved negative for malignant cells. Seven months after completion of chemoradiotherapy, the patient presented a 2.5-cm umbilical tumor involving the trocar tract together with recurrence of the cervical mass. Histological examination of the excised umbilical mass showed recurrence of the cervical adenocarcinoma, with strong peritumoral CD31 immunocytochemical expression.
The peritumoral increase in microvessel density and strong CD31 positivity suggests angiogenesis as a potential factor lead to seeding of tumor cells at the umbilical port.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15790481</pmid><doi>10.1016/j.ygyno.2004.11.056</doi><tpages>4</tpages></addata></record> |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Abdominal Neoplasms - secondary Adenocarcinoma - pathology Adenocarcinoma - secondary Adenocarcinoma - surgery Angiogenesis Cervical carcinoma Female Humans Laparoscopy - adverse effects Lymph Node Excision - adverse effects Lymph Nodes - pathology Lymph Nodes - surgery Lymphatic Metastasis Middle Aged Neoplasm Seeding Paraaortic lymphadenectomy Port-site metastasis Retroperitoneal laparoscopy Retroperitoneal Space Umbilicus - pathology Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - surgery |
| title | Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis? |
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