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Metachronous solitary mediastinal lymph node metastases of hepatocellular carcinoma treated by video‐assisted thoracic surgery twice: Report of a case
Author(s) -
Taniguchi Masatake,
Hyodo Masanobu,
Tezuka Kenji,
Shinohara Shoichi,
Hayashi Hirofumi,
Inoue Yasuhiro,
Satoh Hirotake,
Tsukahara Munetoshi,
Lefor Alan Kawarai,
Okada Masaki,
Yasuda Yoshikazu
Publication year - 2018
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12414
Subject(s) - medicine , mediastinum , hepatocellular carcinoma , mediastinal lymph node , lymph node , metastasis , radiology , lymphadenectomy , cardiothoracic surgery , surgery , cancer
Abstract Solitary mediastinal lymph node metastasis of hepatocellular carcinoma (HCC) is rare. We report a case of metachronically solitary mediastinal metastases of HCC treated by video‐assisted thoracic surgery (VATS) twice. A 66‐year‐old man underwent repeated laparoscopic radiofrequency ablation or trans‐arterial catheter chemo‐embolization against HCC for more than 10 years. The level of alpha fetoprotein protein was elevated, and radiological modalities including FDG‐PET revealed solitary mediastinal tumor metachronically. VATS was performed bilaterally twice. The postoperative course was uneventful and there had no recurrence of extra‐hepatic metastases and tumor markers are within normal limits at 18 months after second VATS. VATS is a minimally invasive and useful procedure for solitary mediastinal lymph node metastasis of HCC. If primary HCC was controlled and lymph node metastasis was solitary, mediastinum lymphadenectomy using VATS might give good short and long term results.