Port Site Metastasis following Laparoscopic Excision of Ovarian Carcinosarcoma QD01-QD03
House Number 459, Sector 15A, Chandigarh-160015, Chandigarh, India.
Port site metastasis is a rare complication and carcinosarcoma is itself a rare malignant tumour of the ovary. We 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 biopsy 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.