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.
Tsilividis
Basile
B
Department of Digestive Surgery, Rouen University Hospital, Rouen, France.
Huet
Emmanuel
E
Lubrano
Jean
J
Lacaze
Laurence
L
Lestrat
Jean Pierre
JP
François
Arnaud
A
Riachi
Ghassan
G
Scotté
Michel
M
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