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Case Reports
. 2008 May 24:6:55.
doi: 10.1186/1477-7819-6-55.

Port site metastasis following diagnostic laparoscopy for a malignant Gastro-intestinal stromal tumour

Andrew R Davies  1 , Waseem Ahmed, Shaun F Purkiss
Affiliations
Case Reports

Port site metastasis following diagnostic laparoscopy for a malignant Gastro-intestinal stromal tumour

Andrew R Davies et al. World J Surg Oncol. .

Abstract

Background: Gastro-Intestinal stromal tumours (GISTs) are rare and our understanding of their natural history and optimal treatment are continually evolving. Port site metastasis after laparoscopy for a GIST is an extremely rare phenomenon.

Case presentation: We report a case with relevant imaging and discuss factors that may have contributed to the development of this isolated metastasis.

Conclusion: Percutaneous methods of sampling GIST tumours for analysis should be avoided if at all possible. When necessary, prophylactic measures should be utilised to minimise the risk of seeding.

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Figures

Figure 1
Figure 1
Advanced tumour with uptake seen within a large mass and throughout the peritoneal cavity.
Figure 2
Figure 2
Partial Response with significantly reduced uptake on PET.
Figure 3
Figure 3
No residual tumour. No pathological uptake seen within the abdominal cavity.
Figure 4
Figure 4
Port site metastasis. Uptake can be clearly seen in the Abdominal wall (Internal oblique) corresponding to the site of the laparoscopic port.
See this image and copyright information in PMC

References

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