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

John Vetto, Alfred M. Cohen

Research output: Contribution to journalArticle

14 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Anatomy
Lymph Nodes
Liver
Lymphatic System
Mediastinum
Abdomen
Colonic Neoplasms
Patient Selection
Drainage
Therapeutics

Keywords

  • Hepatic resection
  • Lymphatic drainage
  • Remetastasis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

@article{683e610132e848d18a1c9e1ace49827a,
title = "Isolated spread of hepatic metastatic disease to a mediastinal lymph node - Report of a case and review of pertinent anatomy and literature",
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.",
keywords = "Hepatic resection, Lymphatic drainage, Remetastasis",
author = "John Vetto and Cohen, {Alfred M.}",
year = "1991",
month = "12",
doi = "10.1007/BF02050077",
language = "English (US)",
volume = "34",
pages = "1128--1130",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Isolated spread of hepatic metastatic disease to a mediastinal lymph node - Report of a case and review of pertinent anatomy and literature

AU - Vetto, John

AU - Cohen, Alfred M.

PY - 1991/12

Y1 - 1991/12

N2 - 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.

AB - 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.

KW - Hepatic resection

KW - Lymphatic drainage

KW - Remetastasis

UR - http://www.scopus.com/inward/record.url?scp=0026356534&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026356534&partnerID=8YFLogxK

U2 - 10.1007/BF02050077

DO - 10.1007/BF02050077

M3 - Article

C2 - 1959465

AN - SCOPUS:0026356534

VL - 34

SP - 1128

EP - 1130

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 12

ER -