Shoji Fumihiro, Shirabe Ken, Yano Tokujiro, Maehara Yoshihiko
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.
Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):446-7. doi: 10.1510/icvts.2009.225284. Epub 2009 Dec 18.
This report presents the case of a patient that developed a postoperative metastatic tumor in the cardiophrenic lymph node as a rare pattern of distant lymph node metastases of hepatocellular carcinoma (HCC) after a complete resection. This is the case of surgically and pathologically proved cardiophrenic lymph node metastasis of HCC using video-assisted thoracic surgery. General thoracic surgeons should therefore be aware of the possibility of this rare form of extrahepatic recurrence when a growing nodule is found in the pericardial fat pad during the follow-up of a malignancy in the liver.
本报告介绍了一例患者，该患者在完全切除术后，在心膈淋巴结出现术后转移性肿瘤，这是肝细胞癌（HCC）罕见的远处淋巴结转移模式。这是一例经手术和病理证实的HCC心膈淋巴结转移病例，采用了电视辅助胸腔镜手术。因此，当在肝脏恶性肿瘤随访期间在心包脂肪垫发现增大的结节时，普通胸外科医生应意识到这种罕见的肝外复发形式的可能性。
