[A case of recurred small hepatocellular carcinoma as a solitary lymph node metastasis after hepatic resection].
Extrahepatic recurrence of hepatocellular carcinoma (HCC) has been considered unsuitable for surgical resection since the disease is considered to be extensive. However, solitary local lymph node recurrence in small HCC is rarely reported with suitable treatment modality being uncertain. We herein, present a case of 60-year-old female patient with small HCC showing late lymph node metastasis after complete resection of primary HCC. A 2 cm-sized hepatic mass was completely resected by segmentectomy (VIII). Eight months later, CT and PET scan revealed a 4.5 cm-sized portocaval lymph node (LN). In addition, whole body PET/CT scan strongly suggested a solitary tumor recurrence. Radical lymphadenectomy was performed. Tumor was confirmed as LN metastasis from HCC by excisional histopathological examination. Adjuvant chemotherapy and radiotherapy were followed.
Lim
Joo Han
JH
Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea.
Lee
Jin-Woo
JW
Kim
Eun Joo
EJ
Lee
Jung Il
JI
Jeong
Seok
S
Lee
Don Haeng
DH
Shin
Yong Woon
YW
Kim
Joon Mee
JM
D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed