Port-Site Metastasis in Gynecological Malignancies

Authors

Kelly Benabou, Department of Obstetrics and Gynecology, Bridgeport Hospital/Yale New Haven Health, Bridgeport, CT, USA.
Wafa Khadraoui, Department of Obstetrics and Gynecology, Bridgeport Hospital/Yale New Haven Health, Bridgeport, CT, USA.
Tarek Khader, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
Pei Hui, Department of Pathology, Yale University School of Medicine, New Haven, CT, USA.
Rodrigo Fernandez, Department of Obstetrics and Gynecology, Bridgeport Hospital/Yale New Haven Health, Bridgeport, CT, USA.
Masoud Azodi, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
Gulden Menderes, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.

Document Type

Article

Publication Title

JSLS : Journal of the Society of Laparoendoscopic Surgeons

Abstract

BACKGROUND: Minimally invasive oncologic surgery has become the standard of care in many gynecologic cancers. While laparoscopic surgery provides many benefits to patients, such as faster recovery, there are unique challenges associated with minimally invasive techniques. Port-site metastasis is a rare complication after laparoscopic oncologic surgery in management of gynecologic malignancies. METHODS: We present the case of a 44-year-old female with isolated port-site recurrence following laparoscopic radical hysterectomy with node-negative, clinical stage IB1 cervical adenocarcinoma. In addition, we provide an updated review of the literature on management and oncologic outcomes of port-site metastasis. CONCLUSION: Port-site metastasis prevention necessitates a better understanding of underlying risk factors and pathophysiology in order to optimize outcomes. Future studies are needed on risk-reducing strategies and standardization of management for port-site metastasis.

DOI

10.4293/JSLS.2020.00081

Publication Date

1-1-2021

Recommended Citation

Benabou, Kelly; Khadraoui, Wafa; Khader, Tarek; Hui, Pei; Fernandez, Rodrigo; Azodi, Masoud; and Menderes, Gulden, "Port-Site Metastasis in Gynecological Malignancies" (2021). MIGs. 11.
https://scholar.bridgeporthospital.org/migs/11

Identifier

33879998 (pubmed); PMC8035826 (pmc); 10.4293/JSLS.2020.00081 (doi); JSLS.2020.00081 (pii)