Tumor recurrence in a previous abdominal incision site in a patient with Endometrial Adenocarcinoma: A case report / Philippine Journal of Obstetrics and Gynecology

@#Endometrial cancer is frequently diagnosed at an early stage and exhibits a good prognosis. However, 10%–15% of tumors recur usually within 3 years. Common sites of recurrence are the vaginal vault and pelvis. Only a number of case reports exist for tumor recurrence in a previous incision site. We present a case of a 71‑year‑old Filipino woman, a diagnosed case of Endometrial Adenocarcinoma Stage III A, FIGO Grade 1, who underwent surgical management, chemotherapy, and radiation therapy 9 years prior, presenting with an abdominal mass at the inferior aspect of the previous surgical scar with the foul‑smelling discharge of 1‑year duration. Physical examination revealed a 6 cm × 4 cm, friable, movable, nontender abdominal mass, with associated edema of the mons pubis. Surgical resection showed that the mass was confined to the abdominal wall, with no extension beneath the fascia and no evidence of tumor in the pelvic and abdominal cavity. Histological examination revealed a moderately differentiated adenocarcinoma in the abdominal wall, confirming tumor recurrence in an atypical location, probably arising from the previous incision site.

A Case of Irritated Seborrheic Keratosis Associated with a Previous Incision Site

An 83-year-old woman had undergone an external dacryocystorhinostomy with silicone intubation. Before the surgery, no skin lesions were observed on the incision site. Three months after surgery, the patient complained of a brown-to-black pigmented elevation at her previous skin incision site. A punch biopsy of the pigmented mass was performed. The histopathologic findings confirmed the clinical diagnosis of irritated seborrheic keratosis (SK). SK can occur several months postoperatively and can suddenly increase in size, so surgeons need to carefully check patients' skin prior to surgery. To our knowledge, this is the first reported case of irritated SK discovered on a previous skin incision site.

Surgical repair of recurrent cervical cancer at a skin incision site with using a Gore-Tex(R) Patch: A case report / 대한산부인과학회지

Recurrence of cervical cancer at a skin incision site is uncommon. We met a patient who received an incomplete operation for cervical cancer and she was transferred to our hospital. When she underwent the first operation she was misdiagnosed as having a benign uterine mass and she received an abdominal total hysterectomy. But the postoperative pathologic finding was cervical cancer. Therefore she was then referred for postoperative cisplatin-5FU concurrent chemo-radiotherapy. Five months after the concurrent chemo-radiotherapy, one solitary metastatic mass was found in the abdominal scar. We performed wide excision. The fascia defect at the excision site was so wide we could not perform the primary closure. Therefore, we used a polytetrafluoroethylene (Gore-Tex(R)) patch as a fascia substitute and we reconstructed the abdominal wall with a fasciocutaneous flap. Then she received cisplatin concurrent chemo-radiation therapy.

Combined laparoscopic surgery:A change of incision site instead of an increase of incision number / 中国微创外科杂志

Objective To study the clinical application of changing the incision site rather than increasing the incision number in combined laparoscopic surgery (CLS). Methods Thirty-six patients had undergone CLS, that is, the laparoscopic cholecystectomy (LC) combined with choledocholithotomy, or appendectomy, or oophorocystectomy, or enterodialysis. The operations were completed after changing the incision site. Results All the 36 operations were accomplished smoothly requiring no additional incisions. No complications were found. Conclusions The minimally invasive advantages in CLS are embodied in changing the incision site rather than increasing the incision number.

Cormeal Endothelial Cell Loss in Phacoemulsifications of Sup. & Temporal Scleral Pocket Incisions

Recently, phacoemulsification is a widely used technique gor extraction of opaque lens. Phacoemulsification thorugh a small incision prvides early visual rehabilitation. However, the side effects of phacoemulsification such as endothelial cell loss have been reported continuously. The aim of this study was to analyze the influence of incision site on corneal endotheliu. Central corneal endothlial cell loss(ECL) was compared following insertion of posterior chamber PMMA intraocular lens with 5.5mm superior scleral pocket incision in 30 eyes and 5.5mm temporal scleral poket incision in 31 eyes. Cell density of the corneal endothelium in all eyes was examed by auto-focus Non Contact Specular Microscopy preoperatively and 2 months postoperatively. The average cell loss was 7.41+/-6.9% and 6.61+/-7.1%, respectively. Phacoemulsification with temporal 5.5mm scleral pocket incisions produced slightly less endothelial cell loss(ECL) than superior incisions. But, there was no statistically significant difference between the eyes with temporal 5.5mm scleral pocket incisions and those with superior 5.5mm scleral pocket incisions. The endothelial cell loss(ECL) is not associated with the direction of corneal incision. If the appropriate direction of corneal incision is chosen by pre-poerative corneal astigmatism, it seems that we will find the better results.