tumor spillage
Inadvertent rupture or leakage of tumor contents during surgical manipulation, potentially affecting prognosis.
Full Definition
The unintentional breach of tumor integrity during surgical removal, resulting in the release of malignant cells into the peritoneal cavity or surgical field. Tumor spillage is a significant concern in gynecologic oncology as it can upstage certain cancers, particularly ovarian malignancies, and may worsen prognosis by increasing the risk of peritoneal dissemination. Prevention requires careful surgical technique, and when spillage occurs, it must be documented for accurate staging and consideration of adjuvant therapy.
Usage
Usage note: Document thoroughly when spillage occurs as it affects tumor staging and prognosis.
In Context
- "Despite careful dissection, tumor spillage occurred during removal of the ovarian mass." — Operative report
- "The absence of tumor spillage allowed for accurate staging of the apparent early-stage ovarian cancer." — Surgical pathology consultation