Port-site recurrence after laparoscopic surgery for endometrial carcinoma

Background: Women with endometrial carcinoma are being treated with laparos copic surgery, but the risk of port-site recurrences remains undefined. Case: A 58-year-old woman underwent laparoscopically assisted vaginal hyste rectomy, 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 l ateral laparoscopic port site. The mass was resected, and a restaging lapar otomy performed, without evidence of other metastases. Radiation therapy wa s administered to the involved anterior abdominal wall. Two and one half ye ars later, there is no evidence of recurrence. Conclusion: An isolated laparoscopic port-site recurrence might be attribut able to the initial laparoscopic management of an otherwise good-prognosis endometrial carcinoma. (Obstet Gynecol 1999;93:807-9. (C) 1999 by The Ameri can College of Obstetricians and Gynecologists.).