Muntz H G, Goff B A, Madsen B L, Yon J L
Section of Gynecologic Oncology, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
Obstet Gynecol. 1999 May;93(5 Pt 2):807-9. doi: 10.1016/s0029-7844(98)00308-1.
Women with endometrial carcinoma are being treated with laparoscopic surgery, but the risk of port-site recurrences remains undefined.
A 58-year-old woman underwent laparoscopically assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, and laparoscopic lymphadenectomy for endometrial cancer. Final surgical stage was IA, with grade 2 histology. Twenty-one months later, she developed a 5-cm recurrent tumor mass at a lateral laparoscopic port site. The mass was resected, and a restaging laparotomy performed, without evidence of other metastases. Radiation therapy was administered to the involved anterior abdominal wall. Two and one half years later, there is no evidence of recurrence.
An isolated laparoscopic port-site recurrence might be attributable to the initial laparoscopic management of an otherwise good-prognosis endometrial carcinoma.
子宫内膜癌女性患者正接受腹腔镜手术治疗，但穿刺孔部位复发风险仍不明确。
一名58岁女性因子宫内膜癌接受了腹腔镜辅助阴式子宫切除术、双侧输卵管卵巢切除术及腹腔镜淋巴结清扫术。最终手术分期为IA期，组织学分级为2级。21个月后，她在腹腔镜外侧穿刺孔部位出现了一个5厘米的复发性肿瘤肿块。切除该肿块，并进行了再次分期剖腹手术，未发现其他转移迹象。对受累的前腹壁进行了放射治疗。两年半后，无复发迹象。
孤立的腹腔镜穿刺孔部位复发可能归因于对原本预后良好的子宫内膜癌进行的初始腹腔镜治疗。
