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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
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
H. Matsushita1,*, T. Takayanagi1, H. Ikarashi1, M. Fukase2
1 Departments of Obstetrics and Gynecology, Tsuruoka Municipal Shonai Hospital, Tsuruoka-city, Yamagata
2 Pathology, Tsuruoka Municipal Shonai Hospital, Tsuruoka-city, Yamagata (Japan)
Eur. J. Gynaecol. Oncol. 2013, 34(5), 480–483;
Published: 10 October 2013
Background: 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. Case: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. Conclusions: This case suggested that PSM could occur without direct or indirect wound contamination during laparoscopic surgery.