Solitary mediastinal lymph node metastasis of hepatocellular carcinoma: MR imaging findings

摘要

A 65-year-old man with multiple hepatocellular carcinomas in the liver with type C viral hepatitis had a solitary inediastinal lymph node metastasis in the right paratracheal to tracheobronchial region. Surgical resection for the inediastinal metastasis was undertaken based on magnetic resonance (MR) imaging findings, suggesting its radicality. We assess the MR imaging findings and presumable pathways of lymphatic metastasis from the liver to mediastinal lymph nodes in this report. (C) 2005 Elsevier Inc. All rights reserved.