Solitary mediastinal lymph node metastasis of hepatocellular carcinoma: MR imaging findings.
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.
Tanaka
Osamu
O
Department of Radiology, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.
Kanematsu
Masayuki
M
Kondo
Hiroshi
H
Goshima
Satoshi
S
Nishibori
Hironori
H
Kato
Hiroki
H
Kiryu
Takuji
T
Yokoyama
Ryujiro
R
Hoshi
Hiroaki
H
Moriyama
Noriyuki
N
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