Isolated port-site metastasis after surgical staging for low-risk endometrioid endometrial cancer: A case report

Abstract. Port‑site metastases (PSMs) are well‑known potential complications of laparoscopic surgery for gynaecologic malignancies. The present case study reports PSM following laparoscopic surgery for Stage IA Grade 1 endometrioid endometrial cancer (EEC). The recurrence developed within 7 months following primary surgery and required surgical excision followed by adjuvant chemo‑radio therapy. After 9 months, the patient remains disease‑free. PSMs are rare complications following laparoscopic surgery. Amongst the 23 cases of endometrial cancer PSMs reported so far, only 4 followed EEC Stage IA Grade 1‑2. The present study reports a rare case of PSM after Stage IA Grade 1 EEC. The clinical and prognostic relevance of PSMs has not been identified so far; and it is not known whether PSMs represent a local recurrence or a systemic recurrence. Surgeons should be aware that even low‑risk EEC may be followed by PSMs and should take steps to prevent these rare recurrences.