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Solitary mediastinal lymph node metastasis of hepatocellular carcinoma: MR imaging findings
Authors:Tanaka Osamu  Kanematsu Masayuki  Kondo Hiroshi  Goshima Satoshi  Nishibori Hironori  Kato Hiroki  Kiryu Takuji  Yokoyama Ryujiro  Hoshi Hiroaki  Moriyama Noriyuki
Affiliation:Department of Radiology, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.
Abstract:A 65-year-old man with multiple hepatocellular carcinomas in the liver with type C viral hepatitis had a solitary mediastinal lymph node metastasis in the right paratracheal to tracheobronchial region. Surgical resection for the mediastinal 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.
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