A Case of Solitary Lymph Node Metastasis of Hepatocellular Carcinoma after Hepatic Resection

  • Kodai Shintaro
    Department of Hepato-Biliarly-Pancratic-Surgery, Graduate School of Medicine, Osaka City University Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Uenishi Takahiro
    Department of Hepato-Biliarly-Pancratic-Surgery, Graduate School of Medicine, Osaka City University Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Ichikawa Tsuyoshi
    Department of Hepato-Biliarly-Pancratic-Surgery, Graduate School of Medicine, Osaka City University
  • Yamazaki Osamu
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Matsuyama Mitsuharu
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Horii Katsuhiko
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Shimizu Sadatoshi
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Tamamori Yutaka
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Higashino Masayuki
    Department of Gastrointestinal Surgery, Osaka City General Hospital
  • Kubo Shoji
    Department of Hepato-Biliarly-Pancratic-Surgery, Graduate School of Medicine, Osaka City University

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Other Title
  • 肝切除後に総肝動脈リンパ節転移を来した肝細胞癌の1例

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Description

The presence of lymph node metastasis is rarely shown in surgical patients with hepatocellular carcinoma. A 58-year-old man who has undergone hepatic resection twice for hepatocellular carcinoma (HCC) and admitted to our hospital was found. During follow-up and abdominal computed tomography (CT) to have a lowdensity lesion 4cm in diameter in the caudate lobe. Angiography showed tumor staining fed by the left gastric artery and middle hepatic artery. The lesion was diagnosed during the surgery as lymphadenopathy in front of the common hepatic artery, we resected the lymph node. Histological examination showed lymph node metastasis of HCC. The patient remains alive without sign of tumor recurrence 30 months after surgery. Resection for lymph node metastasis from HCC is thus effective, when the metastatic lymph node is solitary and when the primary lesion is controlled.

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