title: [A Case of Solitary Paraaortic Lymph Node Recurrence after Surgical Resection for Combined Hepatocellular and Cholangiocarcinoma].
abstract: A 46-year-old woman underwent right hemihepatectomy, cholecystectomy, and sampling of the hilar lymph nodes for combined hepatocellular and cholangiocarcinoma. She received oral S-1 after hepatectomy. However, her serum level of carcinoembryonic antigen gradually increased, and solitary paraaortic lymph node recurrence was detected on positron emission tomography-computed tomography 12 months after hepatectomy. The patient underwent paraaortic lymph node dissection. Histologic examination revealed solitary paraaortic lymph node metastasis composed of hepatocellular carcinoma. After paraaortic lymph node dissection, she was administered sorafenib, and she remains alive and healthy with no evidence of disease 17 months after the initial resection.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Hirose
authors.forename: Jun
authors.initials: J
authors.lastname: Sakata
authors.forename: Kizuki
authors.initials: K
authors.lastname: Yuza
authors.forename: Daiki
authors.initials: D
authors.lastname: Soma
authors.forename: Natsuru
authors.initials: N
authors.lastname: Sudo
authors.forename: Hirosuke
authors.initials: H
authors.lastname: Ishikawa
authors.forename: Kumiko
authors.initials: K
authors.lastname: Tatsuda
authors.forename: Kohei
authors.initials: K
authors.lastname: Miura
authors.forename: Kazuyasu
authors.initials: K
authors.lastname: Takizawa
authors.forename: Kabuto
authors.initials: K
authors.lastname: Takano
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nagahashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D001011:Aorta / Q000473:pathology; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D006528:Carcinoma, Hepatocellular / Q000556:secondary / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000556:secondary / Q000601:surgery*; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D012008:Recurrence