Video-assisted thoracoscopic surgery (VATS) is an established modality
in the management of pleural diseases, We report a case of port-site
recurrence following management of malignant pleural effusion in an el
derly patient with extensive pleural metastasis from adenocarcinoma of
the lung. Although her shortness of breath was relieved following VAT
decortication and talc insufflation, at 3 months she was found to hav
e a 2.5-cm subcutaneous nodule at the camera port site which on biopsy
was confirmed to be metastatic in nature. Even though the nodule was
asymptomatic and the patient prognosis was not affected, it is importa
nt that both the surgeon and future patients should be aware of this p
otential complication.