title: Solitary mediastinal lymph node metastasis of hepatocellular carcinoma: MR imaging findings.
abstract: A 65-year-old man with multiple hepatocellular carcinomas in the liver with type C viral hepatitis had a solitary mediastinal lymph node metastasis in the right paratracheal to tracheobronchial region. Surgical resection for the mediastinal metastasis was undertaken based on magnetic resonance (MR) imaging findings, suggesting its radicality. We assess the MR imaging findings and presumable pathways of lymphatic metastasis from the liver to mediastinal lymph nodes in this report.
authors.affiliation: Department of Radiology, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Tanaka
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kanematsu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kondo
authors.forename: Satoshi
authors.initials: S
authors.lastname: Goshima
authors.forename: Hironori
authors.initials: H
authors.lastname: Nishibori
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kato
authors.forename: Takuji
authors.initials: T
authors.lastname: Kiryu
authors.forename: Ryujiro
authors.initials: R
authors.lastname: Yokoyama
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Hoshi
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Moriyama
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000821:virology; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000821:virology; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008482:Mediastinum