A Case of Sclerosing Hepatic Carcinoma with a Solitary Abdominal Lymph Node Metastasis Developing 9 Years after Hepatectomy

• KOIKE Nobusada

  Department of Surgery, Hachioji Digestive Disease Hospital

• SUZUKI Shuji

  Department of Surgery, Hachioji Digestive Disease Hospital

• IMAZATO Masayuki

  Department of Surgery, Hachioji Digestive Disease Hospital

• TANAKA Seiichi

  Department of Surgery, Hachioji Digestive Disease Hospital

• HAYASHI Tuneo

  Department of Surgery, Hachioji Digestive Disease Hospital

• SUZUKI Mamoru

  Department of Surgery, Hachioji Digestive Disease Hospital

• HANYU Fujio

  Department of Surgery, Hachioji Digestive Disease Hospital

• YAMAMOTO Masakazu

  Department of Surgery, Institute of Gasteoenterology, Tokyo Woman's Medical University

Bibliographic Information

Other Title

• 肝切除後9年経過し孤立性に腹腔内リンパ節転移を来した硬化型肝細胞癌の1例

Abstract

A 59-year-old man diagnosed with hepatocellular carcinoma, lateral hepatectomy in July 1991 to excise a 4×3 cm nodular, found to be sclerosing hepatic carcinoma, EdI+II, IV, fc(-), sf(-) vp0, vv0, b1, tw(-), im1, z1. In ambulatory observation since 1996, his serum AFP was found to be elevated. Abdominal computed tomography (CT) in April 2000 showed a peritoneal lymphadenopathy and angiography showed dark tumor staining extending from the left gastric artery. The patient was free of recurrence from the residual liver or metastatic foci in other organs. Under a diagnosis of lymph node metastasis of liver cancer, the patient underwent surgery in July 2000. This case remonstrates hepatocellular carcinoma treated by hepatectomy with no recurrence in residual liver tissue but resulting in solitary lymphatic metastasis 9 years later that was excised. We also present a review of the literature.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 35 (5), 512-516, 2002-05-01

  The Japanese Society of Gastroenterological Surgery

Keywords

• sclerosing hepatic carcinoma
• lymph node metastasis of hepatocellular carcinoma
• hepatic resection

Details

• CRID: 1574231876650847104
• NII Article ID: 110001344265
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/2002216727
• Text Lang: ja
• Data Source:
  • CiNii Articles