关键词: Port-site metastasis cystic tumour epithelial–mesenchymal transition laparoscopic surgery ovarian

来  源:   DOI:10.21873/cdp.10067   PDF(Pubmed)

Abstract:
UNASSIGNED: Laparoscopic surgery for malignant tumours occasionally results in recurrence at the trocar insertion site or port-site metastasis (PSM). We report on a patient requiring emergency laparoscopic surgery for an ovarian tumour with a review of the relevant literature.
UNASSIGNED: A 42-year-old woman developed sudden abdominal pain and underwent laparoscopic right adnexectomy because of a suspected ovarian cystic tumour rupture. The postoperative histological diagnosis was a mucinous borderline ovarian tumour; however, an undifferentiated carcinoma was detected at the port site eight months after the initial surgery. The histopathological diagnosis of the abdominal wall tumour at the port site differed from intraoperative pathological findings, which was contradictory to PSM definition. Postoperatively, she received three systemic chemotherapy courses but died consequent to tumour metastasis.
UNASSIGNED: This is an atypical PSM case with histopathological differences from the initial tumour. Careful preoperative diagnosis and intraoperative attention are essential in such cases.
摘要:
未经证实:腹腔镜恶性肿瘤手术偶尔会导致套管针插入部位复发或端口部位转移(PSM)。我们报告了一名需要紧急腹腔镜手术治疗卵巢肿瘤的患者,并回顾了相关文献。
UNASSIGNED:一名42岁的妇女因怀疑卵巢囊性肿瘤破裂而突然出现腹痛,并接受了腹腔镜右附件切除术。术后组织学诊断为黏液性交界性卵巢肿瘤;然而,初次手术后8个月在港口发现未分化癌.端口部位腹壁肿瘤的组织病理学诊断与术中病理结果不同,这与PSM定义相矛盾。术后,她接受了三个全身化疗疗程,但死于肿瘤转移。
UNASSIGNED:这是一个非典型的PSM病例,与最初的肿瘤有组织病理学差异。在这种情况下,仔细的术前诊断和术中注意至关重要。
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