Implantation metastasis of ovarian cancer after third-look laparoscopy.

Laparoscopy is used as a diagnostic and therapeutic tool in gynecologic oncology, including the follow up of patients with known ovarian carcinoma. It offers an excellent magnified view of pelvis and anterior abdominal contents. In addition, the operator can easily obtain specimens from suspected sites of involvement and can make laparoscopy guided washings. We present a case of tumor implant occurring in the abdominal trocar site of ovarian papillary cystadenocarcinOma of a patient with known ovarian carcinoma. The purpose of this report is to call attention to the fact that this diagnostic procedure may result in tumor implantation in the abdominal wall even in the absence of visible intraperitonealtumoral involvement in ovarian carcinoma. To our knowledge, there has not been any reported case of abdominal trocar site implant following third-look laparoscopy.