Isolated spread of hepatic metastatic disease to a mediastinal lymph node - Report of a case and review of pertinent anatomy and literature

John T. Vetto, Alfred M. Cohen

    Research output: Contribution to journalArticle

    14 Scopus citations

    Abstract

    The lymphatic system is an important route of spread of hepatic metastatic disease to extrahepatic sites. Although portal and celiac nodes are commonly evaluated both pre- and intraoperatively in patients considered for resection, cephalad sites of drainage of the liver represent a more occult pitfall. We report a case of colon cancer metastatic to the right lobe with an isolated extrahepatic deposit in a mediastinal lymph node. This preoperative diagnosis was confirmed at a subsequent operation, leading to a change in treatment plan. We believe that such occurrences may be unrecognized rather than rare. Careful evaluation of the mediastinum prior to proceeding with hepatic resection may improve patient selection, and hence the outcome, of this procedure.

    Original languageEnglish (US)
    Pages (from-to)1128-1130
    Number of pages3
    JournalDiseases of the Colon & Rectum
    Volume34
    Issue number12
    DOIs
    StatePublished - Dec 1991

    Keywords

    • Hepatic resection
    • Lymphatic drainage
    • Remetastasis

    ASJC Scopus subject areas

    • Gastroenterology

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