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Inferior vena cava tumor thrombus that directly infiltrated from paracaval lymph node metastases in a patient with recurrent hepatocellular carcinoma
- Source :
- World Journal of Surgical Oncology
- Publisher :
- Springer Nature
-
Abstract
- Herein, we present the case of a patient with recurrent hepatocellular carcinoma (HCC) who had paracaval lymph node (LN) metastases with an inferior vena cava (IVC) tumor thrombus after a hepatectomy. A 65-year-old man with chronic hepatitis B virus infection received an extended anterior segmentectomy because of two hepatic tumors, located in segments 7 and 8. Histological examination of both resected specimens showed mostly moderately differentiated HCC with some poorly differentiated areas, and liver cirrhosis (A2/F4). Because the patient had an elevated α-fetoprotein serum level, abdominal computed tomography (CT) was performed. Abdominal CT revealed a 9-mm-diameter recurrent tumor in hepatic segment 3 and paracaval LN metastases with an IVC tumor thrombus at 8 months after the first operation. The patient received transcatheter arterial chemoembolization as treatment for the intrahepatic recurrence, following resection of the paracaval LN metastases and removal of the IVC tumor thrombus. In this case, the paracaval LN metastases had directly infiltrated the IVC via the lumbar veins, resulting in an IVC tumor thrombus, which usually develops from an intrahepatic tumor via the hepatic vein. The development of an IVC tumor thrombus with HCC recurrence, as in this case, is very rare, and based on a PubMed search, we believe this report may be the first to describe this condition.
- Subjects :
- Male
medicine.medical_specialty
Cirrhosis
Carcinoma, Hepatocellular
Hepatocellular carcinoma
Inferior vena cava tumor thrombus
medicine.medical_treatment
Case Report
Vena Cava, Inferior
Inferior vena cava
Medicine
Hepatectomy
Humans
Vein
Transcatheter arterial chemoembolization
Aged
business.industry
Liver Neoplasms
Thrombosis
medicine.disease
Prognosis
Recurrent Hepatocellular Carcinoma
Surgery
medicine.anatomical_structure
medicine.vein
Oncology
Lymphatic Metastasis
cardiovascular system
Radiology
Neoplasm Recurrence, Local
business
Tomography, X-Ray Computed
Lymph node metastases
Subjects
Details
- Language :
- English
- ISSN :
- 14777819
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- World Journal of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....8baea0426bef03e4bf29495c644319a5
- Full Text :
- https://doi.org/10.1186/1477-7819-11-177