Abdominal wall metastases from ovarian cancer after laparoscopy

Gleeson, Noreen; Nicosia, Santo V.; Mark, James E.; Hoffman, Mitchel S.; Cavanagh, Denis

doi:10.1016/0002-9378(93)90611-l

Cited by 151 publications

(62 citation statements)

References 2 publications

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“…Numerous case reports have mentioned the development of tumor metastases at entry sites after a diagnostic laparoscopy in patients with ovarian cancer. In reports on patients with advanced disease [1,2], and also in patients with ovarian tumors of low m alignant potential [3,5], metastases in the abdominal wall after a diagnostic laparoscopy have been described. Childers et a l [7] recently reviewed 88 diagnostic laparoscopic procedures in which an intraperitoneal m alig nancy was documented, o f which 88% (77/88) had gross disease and 80% (70/88) had ovarian cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous case reports have described the develop ment of tumor implants occurring at the abdominal trocar entry sites after laparoscopy in patients with ovarian cancer [1][2][3][4][5], Nevertheless, some of these reports have stated that the development of such tumor implants after laparoscopy in patients with ovarian carcinoma is rare [I, 2]. So far, to our knowledge, no systematic study has been performed regarding its incidence and possible prognostic significance.…”

Section: Introductionmentioning

confidence: 99%

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Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women with Ovarian Cancer

Kruitwagen

Swinkels

Keyser

et al. 1996

Gynecologic Oncology

127

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The aim of this retrospective study was to examine the incidence and prognostic significance of abdominal wall metastases in pa tients with ovarian cancer present at the primary debulking at the entry sites of previous laparoscopy or paracentesis. The clinical records of 219 patients were studied. In 7 of 43 patients (16%) who had undergone laparoscopy and 3 of 30 patients (10%) who had undergone paracentesis previous to the primary debulking, an abdominal wall metastasis had developed at the entry sites. All metastases occurred in patients with FIG O stage IIIC -IV including ascites. Survival analysis using the Cox proportional hazards model showed that after adjustment for age, FIG O stage3 histology, grade, ascites, and residual disease after primary de bulking, the presence of abdominal wall metastases in the entry sites of previous laparoscopy or paracentesis was negatively, al though not statistical significantly, correlated with survival (P = 0.14).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women with Ovarian Cancer

Kruitwagen

Swinkels

Keyser

et al. 1996

Gynecologic Oncology

127

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“…Asit maisinde protein yüksekliği ve yaymada yoğun lenfosit izlenmesi de tüberkülozu destekleyen bulgulardır. Minimal invazif yöntemlerle pelvik tüberküloz veya over kanserinin kesin tanısının konulamaması hâlinde laparoskopi veya laparatomi ile şüpheli odaklardan alınan biyopsi örneklerinin intraoperatif frozen incelemesi ile kesin tanı konulabilir (18) .…”

Section: Discussionunclassified

A case of pelvıc tuberculosıs presentıng as an ovarıan malıgnancy

Erdem¹,

Bakar²,

Ulukent³

et al. 2017

IKSST

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ÖZ Assit, adneksiyal kitle ve artmış serum CA125 düzeyleri ile başvuran kadın hastalarda aksi ispat edilmedikce ilk tanı over maligniteleridir. Bununla birlikte yaygın pelvik tüber- giriŞAdneksiyel kitle, asit ve yüksek CA125 seviyeleri saptanan kadın hastalarda ilk olarak düşünülen ön tanı over kanseridir. Over kanseri tanısı alan hastalarda genellikle histerektomi ve ooforektomi ile beraber radikal cerrahi uygulanır. Ancak disemine tüberküloz da nadir oarak aynı bulgularla prezante olabilir va genellikle medikal tedaviye yanıt verir. Literatürde over kanserini taklit eden pelvik tüber-küloz olguları sunulmuştur (1)(2)(3) . Ancak bu olguların çoğu laparotomi esnasında insidental olarak saptanabilmiştir (4) .

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“…18 In one patient, there were bilateral ovarian surface excrescences and in the other two patients, aged 69 and 79 years, ascites was detected clinically and ultrasonographically.…”

Section: Combination Of Testsmentioning

confidence: 91%

Laparoscopic Ovarian Cystectomy: Selection of Patients and Consequences of Rupture of Ovarian Malignancy

Rouzi

McComb

1997

Ann Saudi Med

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AA Rouzi, PF McComb, Laparoscopic Ovarian Cystectomy: Selection of Patients and Consequences of Rupture of Ovarian Malignancy. 1997; 17(3): 321-325 Operative laparoscopy is gaining popularity and widespread application in gynecology. In response to a survey on operative laparoscopy by the American Association of Gynecologic Laparoscopists, the laparoscopic management of ovarian cysts was the third most common procedure reported.1 Technological advances and appropriate training have allowed ovarian cystectomy to be performed laparoscopically. In this review, we assess the best available diagnostic means to select cases suitable for laparoscopic ovarian cystectomy to prevent inadvertent rupture of ovarian malignancy and to appraise the consequences of rupture of ovarian malignancy if it occurs. Diagnostic Tests and Selection of Patients History and Physical ExaminationHistorically, ovarian cancer has been described as occult disease with an insidious onset of nonspecific symptomatology. A disease of older age, the risk of ovarian malignancy is 12.1 times greater for the 60-69-year age range as compared with the 20-29-age range.2 And the overall risk of malignancy in an ovarian neoplasm increases from 13% in premenopausal women to 45% in postmenopausal women. The use of a physical examination to differentiate benign from malignant disease is based upon certain characteristics, including bilaterality, presence of cystic/solid components, mobility of the pelvic structures, irregularity of the cyst surface, ascites and cul-de-sac nodularity.3 However, these characteristics are nonspecific and some (cystic/solid components or irregularities of the cyst) are best addressed ultrasonographically. Tumor MarkersCirculating tumor markers are used increasingly in the diagnosis and management of gynecologic malignancy. A detailed discussion of tumor markers is beyond the focus of this review. The most commonly used marker for epithelial ovarian cancer is CA 125, a tumor-associated antigen that can be recognized by the specific monoclonal antibody and that is present in 80% of all patients with ovarian cancer. Forty percent of women with Stage I ovarian cancer will have elevated levels. 4 However, it can also be elevated in other physiological circumstances (menstruation and early pregnancy), in benign gynecologic conditions (endometriosis) and with other malignancies (pancreas, stomach, colon and rectum).To use CA 125 for identifying malignant pelvic masses, O'Connell et al. constructed a receiver operator characteristic (ROC) curve and determined that a cutoff of 35 U/mL achieves a sensitivity of 100%, a negative predictive value of 100%, a specificity of 43% and a positive predictive value of 60%. 5 The ROC curve describes the accuracy of a test over a range of cutoff points by depicting the tradeoff between sensitivity and specificity. It can also compare the validity of different diagnostic tests. In this series, however, it is necessary to consider the possibility of selection bias because of the high clinical suspici...

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Abdominal wall metastases from ovarian cancer after laparoscopy

Cited by 151 publications

References 2 publications

Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women with Ovarian Cancer

Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women with Ovarian Cancer

A case of pelvıc tuberculosıs presentıng as an ovarıan malıgnancy

Laparoscopic Ovarian Cystectomy: Selection of Patients and Consequences of Rupture of Ovarian Malignancy

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