腹腔鏡補助下腟式子宮全摘術後にport site recurrenceを認めた早期子宮体癌の1例

概要

論文の詳細を見る
A 49-year-old woman underwent laparoscopic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy for myoma uteri. Five months later, she developed a 3-cm mass at a lateral laparoscopic port site. The mass was resected, and pathology revealed metastatic adenocarcinoma. Histological reexamination of the resected uterine specimen showed slight spread of well differentiated adenocarcinoma of the endometrium. Consequently, we diagnosed the abdominal wall mass as port site recurrence of endometrial carcinoma, with a surgical staging of Ia, Gi. The present case demonstrates that port site recurrence of early-stage endometrial carcinoma can occur. With laparoscopic surgery for treatment of malignancy becoming increasingly common, this complication may be seen more frequently. Further investigation of its mechanisms and prevention is therefore necessary.
社団法人日本産科婦人科学会の論文
2002-07-01