孤立性に縦隔転移を認めた肝細胞癌の1例

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  • A case of hepatocellular carcinoma with a solitary mediastinal metastasis.

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A 46-year-old woman was admitted to our hospital with epigastric pain and a tumor. CT and FCR tomography revealed a solitary mediastinal tumor at the left cardio phrenic angle. We diagnosed the condition as hepatocellular carcinoma with a solitary mediastinal metastasis at the left cardio phrenic angle. The metastatic lesion was located in the perimedical adipose tissue and no other metastasis was detected. Mediastinal metastasis of hepatocellular carcinoma without pulmonary metastasis is rare. A hepatocellular carcinoma with solitary mediastinal metastasis was accurately diagnosed and resected both lesions at the same time. This is considered to be the first reported case in Japan.

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