title: A rare case of hepatocellular carcinoma accompanied by metastasis of a cervical lymph node.
abstract: Metastasis to lymph nodes in patients with hepatocellular carcinoma (HCC) is generally observed to occur in regional chains of involvement. We encountered a HCC patient who had hepatitis C virus-related liver cirrhosis and portal vein tumor thrombosis, accompanied by metastasis to only a single cervical lymph node, skipping the common intermediate routes of involvement. It is noteworthy, so as not to miss the clinical diagnosis, to remark that metastasis to the cervical lymph node is rarely observed in patients with HCC, and that the metastasis can skip to the regional lymph nodes.
authors.affiliation: Department of Gastroenterology and Neurology, Kagawa University School of Medicine, Japan.
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Himoto
authors.forename: Joji
authors.initials: J
authors.lastname: Tani
authors.forename: Hisaaki
authors.initials: H
authors.lastname: Miyoshi
authors.forename: Hirohito
authors.initials: H
authors.lastname: Yoneyama
authors.forename: Akihiro
authors.initials: A
authors.lastname: Deguchi
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Kurokohchi
authors.forename: Hirohito
authors.initials: H
authors.lastname: Mori
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hoshikawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Ueno
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masaki
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009333:Neck