Late supra-diaphragmatic lymph node recurrence following resection of a fibrolamellar hepatocarcinoma: an unusual case.
We report the case of a patient who presented with a supra-diaphragmatic lymph node recurrence 8 years after resection of a right liver fibrolamellar carcinoma. Treatment of this recurrence consisted of local excision by a right thoracotomy approach. Postoperative course was uneventful and the patient did not experience recurrence within 2 years. Based on this observation, we describe the major lymphatic vessels of the liver, in order to explain this unusual metastatic site occurrence.
Department of Digestive Surgery, Rouen University Hospital, Rouen, France.
Basile
B
Tsilividis
Emmanuel
E
Huet
Jean
J
Lubrano
Laurence
L
Lacaze
Jean Pierre
JP
Lestrat
Arnaud
A
François
Ghassan
G
Riachi
Michel
M
Scotté
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D012008:Recurrence