Abdominal wall metastasis of ovarian carcinoma after low transverse abdominal incision: Report of two cases and review of literature

A. Rafii, G. Ferron, M. Lacroix-Triki, F. Dalenc, L. Gladieff, D. Querleu

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Occurrence of parietal metastases after surgery for a suspect adnexal mass may worsen the prognosis of the disease. However, it is not clear whether abdominal wall metastases is related to specific biologic features or simply to surgical mismanagement involving small incisions and traumatic extraction of the specimen, resulting in direct seeding of cancer cells. We report two cases with development of parietal dissemination of ovarian carcinomas after Pfannenstiel incision. The two patients needed parietal resection to obtain optimal surgical cytoreduction. Pfannenstiel incisions for exploration of suspicious adnexal masses increase the risk of extensive parietal metastasis in case of malignancy because they require reflection of several sheaths of tissue. The parietal extension of the disease may need major parietal resection that can worsen the functional and general outcome of the patients.

Original languageEnglish
Pages (from-to)334-337
Number of pages4
JournalInternational Journal of Gynecological Cancer
Volume16
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 1 Feb 2006

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Keywords

  • Ovarian tumors
  • Parietal dissemination
  • Transverse incision

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology

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