Tanaka Osamu, Kanematsu Masayuki, Kondo Hiroshi, Goshima Satoshi, Nishibori Hironori, Kato Hiroki, Kiryu Takuji, Yokoyama Ryujiro, Hoshi Hiroaki, Moriyama Noriyuki
Department of Radiology, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.
Magn Reson Imaging. 2005 Jan;23(1):111-4. doi: 10.1016/j.mri.2004.11.001.
A 65-year-old man with multiple hepatocellular carcinomas in the liver with type C viral hepatitis had a solitary mediastinal lymph node metastasis in the right paratracheal to tracheobronchial region. Surgical resection for the mediastinal metastasis was undertaken based on magnetic resonance (MR) imaging findings, suggesting its radicality. We assess the MR imaging findings and presumable pathways of lymphatic metastasis from the liver to mediastinal lymph nodes in this report.
一名65岁患有丙型病毒性肝炎且肝脏有多个肝细胞癌的男性患者,在气管旁至气管支气管区域右侧有一个孤立的纵隔淋巴结转移灶。基于磁共振(MR)成像结果显示有可能实现根治,遂对纵隔转移灶进行了手术切除。在本报告中,我们评估了该患者的MR成像结果以及肝脏至纵隔淋巴结可能的淋巴转移途径。