Port site implantation of clear cell carcinoma after laparoscopic ovarian cystectomy

Joseph J. Noh, Kyue Hee Choi, Hyun Soo Kim, Jeong Won Lee

Research output: Contribution to journalArticlepeer-review


Despite the fact that laparoscopic surgery has clearly shown benefits in patients with benign ovarian tumor, concerns remain regarding port site metastasis especially when final pathology reveals malignancy. Port site metastasis has been reported in early stages of malignant diseases. However, to our knowledge, there are no reports of port site implantation of malignant cells after laparoscopic surgery for benign disease. We present a 39-year-old woman who had undergone laparoscopic ovarian cystectomy for benign disease, and developed clear cell carcinoma at the site of trocar insertion 11 months after the initial operation. It is possible that the cancer was missed at the time of the initial surgery. Numerous factors have been suggested in the development of port site metastasis including aerosolization of tumor cells, lack of local immune response by the host and unskilled surgical techniques. A careful preoperative evaluation and meticulous laparoscopic maneuvers are the best way to prevent such occurrence.

Original languageEnglish
Pages (from-to)174-178
Number of pages5
JournalEuropean Journal of Gynaecological Oncology
Issue number1
Publication statusPublished - 2021 Feb 15

Bibliographical note

Publisher Copyright:
© 2021 The Authors. Published by IMR Press.

All Science Journal Classification (ASJC) codes

  • Oncology
  • Obstetrics and Gynaecology


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