Open AccessPort Site Metastasis following Laparoscopic Excision of Ovarian Carcinosarcoma
Author(s) -
Akhilesh Kumar Singh,
Avir Sarkar,
Rimpi Singla,
Nalini Ranjan Sen Gupta,
Bhavana Rai
Publication year - 2020
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2020/45783.14347
Subject(s) - carcinosarcoma , medicine , metastasis , surgery , omentectomy , hysterectomy , ovary , port (circuit theory) , cystectomy , cancer , carcinoma , pathology , electrical engineering , engineering , bladder cancer
Port site metastasis is a rare complication and carcinosarcoma is itself a rare malignant tumour of the ovary. Hereby, Authors report a case of an ovarian carcinosarcoma which was retrospectively diagnosed from the metastasis which developed at the specimen retrieval port site of primary laparoscopic surgery. A 48-year-old nulliparous lady underwent laparoscopic cystectomy previously for endometrioma. Six months postlaparoscopy, she developed pain and palpable mass at the trochar site. Fine Needle Aspiration Cytology (FNAC) showed metastatic adenocarcinoma of ovarian origin confirmed by immunohistochemistry. Six cycles of chemotherapy followed by total hysterectomy, resection of the mass and attached tubal segment, opposite salpingo-oophorectomy and omentectomy was done. Post-surgery, patient was followed-up with three chemotherapy sessions. Final histopathological report showed carcinosarcoma of ovary at port site with omental deposit.