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Anti-adhesive film mimicking local recurrence during follow up after surgical treatment of gynecologic malignancy

  • J.Y. Kwack1
  • Y.S. Kwon2
  • K.S. Im3,*,

1Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea

2Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Ulsan University Hospital, Ulsan Korea

3Department of Anesthesiology and Pain Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea

DOI: 10.12892/ejgo2770.2016 Vol.37,Issue 1,February 2016 pp.133-134

Published: 10 February 2016

*Corresponding Author(s): K.S. Im E-mail: donga@catholic.ac.kr

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Abstract

A 51-year-old woman received a laparoscopic surgical staging operation due to endometrial carcinoma. Adjuvant pelvic radiotherapy was performed when the endometrial carcinoma was staged at FIGO Stage IIIC1, adnexa metastasis. Three months completing adjuvant pelvic radiotherapy, a 2.5-cm vaginal stump mass was found by abdomino-pelvic computed tomography (AP-CT). To rule out local recurrence, diagnostic laparoscopic exploration was performed. The pathologic report revealed chronic inflammation due to the presence of a foreign body. To avoid unnecessary surgery during the follow-up of patients with gynecologic malignancies, anti-adhesive material should be avoided which can possibly cause a lesion mimicking local recurrence.

Keywords

Anti-adhesive material; Foreign body; Local recurrence.

Cite and Share

J.Y. Kwack,Y.S. Kwon,K.S. Im. Anti-adhesive film mimicking local recurrence during follow up after surgical treatment of gynecologic malignancy. European Journal of Gynaecological Oncology. 2016. 37(1);133-134.

URL:

https://www.ejgo.net/articles/10.12892/ejgo2770.2016

References

[1] DeWilde R.L., Trew G.: “Postoperative abdominal adhesions and their prevention in gynaecological surgery. Expert consensus position. Part 2—steps to reduce adhesions”. Gynecol. Surg., 2007, 4, 161.

[2] Avital S., Bollinger T.J., Wilkinson J.D., Marchetti F., Hellinger MD., Sands LR.: “Preventing intraabdominal adhesions with polylactic acid film: an animal study”. Dis. Colon. Rectum., 2005, 48, 153.

[3] J.L.: “Evaluation of adverse effects of polyactic bioabsorbable sheet (Surgiwrap) for the reduction of pelvic adhesion in gynecologic surgery”. J. Minim. Invasive. Gynecol., 2008, 15, 147S.

[4] Shaltz A.T., Leath C.A. 3rd., Wiedenhoefer J.F., Sundborg M.J.: “Reaction to a surgical implant foreign body masquerading as recurrent uterine sarcoma”. Obstet. Gynecol., 2011, 117, 450.

[5] Salani R., Backes F.J., Fung M.F.K., Holschneider C.H.., Parker L.P., Bristow R.E., et al.: “Posttreatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: Society of Gynecologic Oncologists recommendations“. Am. J. Obstet. Gynecol., 2011, 204, 466.


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