Treatment of lymph node recurrence in patients with hepatocellular carcinoma

The clinicopathological features and results of lymph node dissection were investigated in four patients with hepatocellular carcinoma (HCC) who developed lymph node recurrence following hepatectomy. One patient was found to have metastasis in the periportal lymph nodes at the time of a second lapar...

Full description

Saved in:
Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 1994-01, Vol.24 (7), p.606-609
Main Authors: UNE, Y, MISAWA, K, SHIMAMURA, T, OGASAWARA, K, MASUKO, Y, SATO, N, NAKAJIMA, Y, ICHINO, J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
Hepatectomy
Humans
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Liver, biliary tract, pancreas, portal circulation, spleen
Lymph Node Excision
Lymph Nodes - pathology
Lymphatic Metastasis
Male
Medical sciences
Middle Aged
Postoperative Period
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tomography, X-Ray Computed
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The clinicopathological features and results of lymph node dissection were investigated in four patients with hepatocellular carcinoma (HCC) who developed lymph node recurrence following hepatectomy. One patient was found to have metastasis in the periportal lymph nodes at the time of a second laparotomy, while the other three developed posterior pancreaticoduodenal lymph node metastasis. All four patients had concomitant cirrhosis of the liver and were negative for hepatitis B surface antigen. No relationship between the site of the primary lesion and the location of lymph node metastasis was found. Two of the four patients are alive and in good health 4 years and 3 months, and 7 years and 3 months after their first operation, respectively. Thus, we conclude that the posterior pancreaticoduodenal lymph nodes are the most common site of lymph node recurrence of HCC, and that dissection of the affected lymph nodes offers the best chance of long-term survival.
ISSN:0941-1291
1436-2813
DOI:10.1007/BF01833724