A Case of Solitary Para-Aortic Lymph Node Metastasis of Hepatocellular Carcinoma Treated with Single Resection
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- Yamai Hiromichi
- Department of Surgery, University of Tokushima
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- Yoshida Takahiro
- Department of Surgery, University of Tokushima
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- Seike Jyuniti
- Department of Surgery, University of Tokushima
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- Honda Jyunko
- Department of Surgery, University of Tokushima
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- Miyoshi Takanori
- Department of Surgery, University of Tokushima
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- Takechi Hirokazu
- Department of Surgery, University of Tokushima
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- Yuasa Yasuhiro
- Department of Surgery, University of Tokushima
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- Umemoto Atsushi
- Department of Surgery, University of Tokushima
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- Tangoku Akira
- Department of Surgery, University of Tokushima
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- Shimada Mitsuo
- Department of Surgery, University of Tokushima
Bibliographic Information
- Other Title
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- 肝細胞癌孤立性大動脈周囲リンパ節転移の1切除例
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Description
We report a case of the which was treated with TAE, RFA and surgery. In 2003, a 60-year-old man followed up for chronic hepatitis C and admitted for examination of intrahepatic lesions detected in urtrasonography was found in abdominal computed tomography (CT) to have two intrahepatic masses of about 4cm and 4.5cm and a solitary swollen 2.8cm lymph node to the right of the aorta. We diagnosed the intrahepatic lesions as he-patocellular carcinoma (HCC), but we could not diagnose the paraaortic lesion as a metastatic lymph node. We treated the hepatic lesion with TAE and RFA, and followed up the paraaortic mass, which became enlarged two months later. We resected the lymph node. The postoperative course was uneventful and the patient was discharged. Serum AFP decreased from a preoperative 2, 685ng/ml to a postoperative 3ng/ml. Two years later, neither intrahepatic recurrence nor the presence of the metastatic lymph node was seen.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 41 (4), 412-417, 2008
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390282679895798016
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- NII Article ID
- 130004117606
- 110006655910
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed