title: Hoarseness due to lymph node metastasis of hepatocellular carcinoma: A case report.
abstract: Hepatocellular carcinoma (HCC) metastases in the mediastinum are rare, particularly under the arch of the aorta. The present study describes the case of a 30-year-old male patient who presented with back pain and hoarseness for 2 months due to lymph node metastasis of HCC. The patient had undergone right hepatic lobectomy for HCC 2 years prior and received transarterial chemoembolization 4 times following resection. A computed tomography scan revealed enlarged lymph nodes under the arch of the aorta that appeared to have invaded the left recurrent laryngeal nerve, causing the hoarseness. Percutaneous aspiration biopsy of the enlarged, right supraclavicular lymph node identified malignant cells consistent with HCC. Radiation administered as a therapy to treat for the metastatic lymph nodes did not diminish the tumor but relieved the symptoms.
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Lin
authors.initials: L
authors.lastname: Xu
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Feng
authors.initials: F
authors.lastname: Xue
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Boqing
authors.initials: B
authors.lastname: Wang
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Dong
authors.initials: D
authors.lastname: Yan
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Ding
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Jiwei
authors.initials: J
authors.lastname: Yin
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Chao
authors.initials: C
authors.lastname: Yi
authors.affiliation: Department of Hepatopancreatobiliary Surgery, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
keywords: hepatocellular carcinoma; hoarseness; lymph node metastasis