Abdominal wall port site metastasis after robotically staged endometrial carcinoma: A case report

My-Linh T Nguyen; Jaclyn Friedman; Tana S Pradhan; Tarah L Pua; Sean S Tedjarati

doi:10.1016/j.ijscr.2013.04.006

Abdominal wall port site metastasis after robotically staged endometrial carcinoma: A case report

Int J Surg Case Rep. 2013;4(7):613-5. doi: 10.1016/j.ijscr.2013.04.006. Epub 2013 Apr 18.

Authors

My-Linh T Nguyen¹, Jaclyn Friedman, Tana S Pradhan, Tarah L Pua, Sean S Tedjarati

Affiliation

¹ Department of Obstetrics and Gynecology, Westchester Medical Center of New York Medical College, United States. Electronic address: Miminguyen17@gmail.com.

Abstract

Introduction: The incidence of port-site metastasis following robotic-assisted laparoscopic hysterectomy is unknown.

Presentation of case: We present a case of a 78-year-old female diagnosed with an incidental grade 3 endometrial adenocarcinoma on a final hysterectomy specimen. She subsequently underwent a robotic staging surgery with a gynecologic oncologist where nodal pathology was found to be negative; her final stage was 1B. One year following diagnosis, she developed a recurrence on her abdominal wall at the former port-sites with concomitant vaginal cuff recurrence.

Discussion: We hypothesize possible modes of metastasis and present limited published data to date on port site metastasis following robotic hysterectomy for endometrial cancer.

Conclusion: This is the second reported case of port-site metastasis following robotic surgery for endometrial cancer.