title: [Abdominal lymph node metastases detected five years after surgery for the lung cancer; report of a case].
abstract: A 73-year-old woman who had underwent right lower lobectomy for adenocarcinoma of the lung( S10,pT1aN0M0, stage I A) 5 years before, visited our hospital with back pain. Whole body computed tomography (CT) revealed the enlargement of the abodominal lymph nodes surrounding the celiac artery,which was positive for fluorodeoxyglucose-positron emission tomography( FDG-PET). Open biopsy of the lymph node was performed and histopathological diagnosis was metastases of adenocarcinoma.Additional immunohistological examination showed positive findings for cytokeratin( CK) 7 and thyroid transcription factor( TTF)-1, but negative for CK20, suggesting the lesion to be metastases of lung cancer. Abdominal lymph node should be kept in mind in patients with lower lobe lung cancer.
authors.affiliation: Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Watanabe
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Kennichi
authors.initials: K
authors.lastname: Nagai
authors.forename: Masakazu
authors.initials: M
authors.lastname: Miyake
authors.forename: Taishi
authors.initials: T
authors.lastname: Hata
authors.forename: Kenshu
authors.initials: K
authors.lastname: Kawanishi
authors.forename: Junya
authors.initials: J
authors.lastname: Fujita
authors.forename: Kenzo
authors.initials: K
authors.lastname: Akagi
authors.forename: Keizo
authors.initials: K
authors.lastname: Dono
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Nishioka
authors.forename: Shiro
authors.initials: S
authors.lastname: Adachi
authors.forename: Masashi
authors.initials: M
authors.lastname: Kitada
mesh_terms: D000005:Abdomen; D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis / Q000473:pathology*; D013997:Time Factors