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Research Article Open access CC BY 4.0

Surgical Management of Oligometastatic Port Site Recurrence Following Robotic Assisted Gynaecological Cancer Surgery: A Case Report

Artem Homer, Salamatu Abdul-Aziz, Anupama Rajan Babu

Journal of Cancer and Tumor International · pp. 1–6 · Published 11 Jun 2024

10.9734/jcti/2024/v14i3255

Abstract

Aims: Port site recurrence is a rare complication of laparoscopic or robotic surgery for gynaecological cancer. The exact mechanism is not well understood and there are few cases detailing this phenomenon specifically after robotic assisted surgery for gynaecological cancer. The aim of this case report is to demonstrate how an oligometastatic port site recurrence can be managed following robotic surgery for cervical carcinoma. Presentation of Case and Discussion: The authors present a case of oligometastatic port site metastasis in a 49-year-old woman with Stage 1B1 grade 2 endocervical adenocarcinoma following primary robotic radical hysterectomy with lymph node dissection. The recurrence was diagnosed 16 months post primary surgery in the anterior abdominal wall and the lung. Both were resected with clear margins and the patient continued follow up. A further second ipsilateral port site recurrence was diagnosed 81 months after the initial surgery, this was also excised and the abdominal wall reconstructed with mesh. The patient is asymptomatic and disease-free 7.5 years after her initial diagnosis. Conclusion: Oligometastatic port site recurrence can be successfully managed by surgical excision in selected cases, however more research is required to develop better understanding of the mechanisms and risk factors for port site metastasis in different gynaecological cancers which would in turn help to improve clinical decision making.

Port site metastasis gynaecological cancer cervical cancer minimally invasive surgery robotic surgery

References (15)

  1. 1 Laparoscopic port-site metastases: etiology and prevention [DOI]
  2. 2 The rate of port-site metastases after 2251 laparoscopic procedures in women with underlying malignant disease [DOI]
  3. 3 The Pathogenesis and Prevention of Port-Site Metastasis in Gynecologic Oncology [DOI]
  4. 4 Rapid Development of Malignant Metastases in the Abdominal Wall after Laparoscopy [DOI]
  5. 5 Laparoscopic port-site metastases in patients with gynecological malignancies [DOI]
  6. 6 Surgery for early stage cervical cancer: How radical should it be? [DOI]
  7. 7 Port-Site Metastasis in Gynecological Malignancies [DOI]
  8. 8 The incidence of port-site metastases might be reduced [DOI]
  9. 9 Port‐site metastases following robot‐assisted laparoscopic surgery for gynecological malignancies [DOI]
  10. 10 Port-Site Metastases After Robotic Surgery for Gynecologic Malignancy [DOI]
  11. 11 Low incidence of port-site metastasis after robotic assisted surgery for endometrial cancer staging: descriptive analysis [DOI]
  12. 12 Umbilical metastasis after laparoscopic retroperitoneal paraaortic lymphadenectomy for cervical cancer: a true port-site metastasis? [DOI]
  13. 13 COVID-19 Pandemic and Impacts on Cervical Cancer Screening and Treatment Programs: A Narrative Review [DOI]
  14. 14 Port site metastasis after minimally invasive surgery of cervical carcinoma: case report and review of the literature [DOI]
  15. 15 Retrospective Analysis of Cancer Cervix at Awal Bros Batam Hospital in 2020-2022 [DOI]

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