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ID 48268
JaLCDOI
フルテキストURL
著者
Utsumi, Masashi Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine
Matsuda, Hiroaki Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine
Sadamori, Hiroshi Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine Kaken ID publons researchmap
Shinoura, Susumu Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine Kaken ID publons
Umeda, Yuzo Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine
Yoshida, Ryuichi Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine
Satoh, Daisuke Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine
Hashimoto, Masaaki Department of Surgery, Fukuyama Daiichi Hospital
Yagi, Takahito Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine Kaken ID publons researchmap
Fujiwara, Toshiyoshi Department of Gastroenterological Surgery, Okayama University Graduate school of Medicine ORCID Kaken ID publons researchmap
抄録
We report 4 cases of surgical resection of metachronous lymph node (LN) metastases from hepatocellular carcinoma (HCC) following hepatectomy. Clinicopathological features and results of LN dissection were investigated in the 4 patients. One patient was found to have a single metastasis in the mediastinal LNs, another had multiple metastases in the mediastinal and abdominal LNs, and the other 2 had single metastases in the abdominal LN. The locations of the abdominal LN metastases were behind the pancreas head in 2 patients and around the abdominal aorta in 1 patient. They all underwent surgical resection of metastatic LNs and had no postoperative complications. The 3 patients whose LN metastases were solitary have been alive for more than 2 years after LN resection, and one of them is free from recurrence. The patient with multiple LN metastases died 13 months after LN resection due to carcinomatosis. With the expectation of long-term survival, a single metachronous LN metastasis from HCC after hepatectomy should be resected in patients without uncontrollable intrahepatic or extrahepatic tumors.
キーワード
hepatocellular carcinoma
lymph node metastasis
hepatectomy
Amo Type
Case Report
発行日
2012-04
出版物タイトル
Acta Medica Okayama
66巻
2号
出版者
Okayama University Medical School
開始ページ
177
終了ページ
182
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2012 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT