Pancoast syndrome caused by metastasis to the superior mediastinum of hepatocellular carcinoma.
Hepatocellular carcinoma (HCC) is common in Taiwan. Recently, extrahepatic metastases have developed more frequently in patients due to prolonged survival rates to which improved diagnostic and treatment methods have contributed. We present here a case of a 46-year-old man with an unusual metastasis to the superior mediastinum causing Pancoast syndrome eight months after a right hepatic lobectomy for HBV-related HCC. Early detection and prompt treatment of paraspinal metastasis are important to relieve symptoms and prevent permanent loss of neurological functions.
Hung
J-J
JJ
Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China.
Lin
S-C
SC
Hsu
W-H
WH
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000188:drug therapy / Q000556:secondary / Q000601:surgery / Q000821:virology; D017115:Catheter Ablation; D017809:Fatal Outcome; D006498:Hepatectomy; D006509:Hepatitis B / Q000150:complications* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery / Q000821:virology; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D010178:Pancoast Syndrome / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed