肝細胞癌切除後の肺門リンパ節転移の1例

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  • RESECTED LYMPH NODES METASTASIS TO THE HILUS OF THE LUNG AFTER OPERATION FOR A HEPATOCELLULAR CARCINOMA-A CASE REPORT-

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This paper presents successfully recected case of lymph nodes metastasis to the hilus of the lung after resection for a hepatocellular carcinoma in a 63-year-old man. The patient had undergone a posterior segmen-tectomy for a hepatocellular carcinoma in the S7 in October 1993, and then a partial hepatectomy and a partial excision of the lung for metastases to the remnant liver and right upper lobe of the lung 2 years after the initial operation. In August, 1996, a chest CT scan revealed lymph node swelling at the hilum of the lung about 2cm in size which became larger to about 3cm in size 3 months later. It was diagnosed as hilar lymph node metastasis Chemotherapy with mitoxantoron was started in January, 1997, and his clinical course was observed. Chest CT scan in May visualized the enlarged tumor to about 4cm in size but no other lesions. The patient was though to be candidate for operation. Angiography also revealed no invasions into the aorta. On June 25, an excision of the right upper lobe of lung with lymph nodes dissection was performed under a right thoracotomy. The patient was discharged from the hospital 15 days after the operation, and is strictly fol-lowed on an ambulant basis. There have been no signs of recurrence on blood examination and imaging methods as of one year after the operation.

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