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肝细胞癌(HCC)淋巴结转移并不常见。我们对一例肝细胞癌并孤立的腹主动脉旁淋巴结转移患者施行切除手术。患者男性,诊断为B型肝硬化并肝细胞癌。已经接受射频消融、经导管动脉化学栓塞术、经皮酒精注射治疗。尽管接受上述治疗,在S4及S8段仍有活性病灶。我们为患者施行了右侧旁正中及左侧部分旁正中肝段切除。6个月后,患者血清AFP及PIVKA-2值升高,分别为189 ng/ml、507 m AU/ml。腹部增强CT提示腹主动脉右侧2.0 cm占位,氟-18氟脱氧葡萄糖
Hepatocellular carcinoma (HCC) lymph node metastasis is not common. We performed a resection of a patient with hepatocellular carcinoma and isolated para-aortic lymph node metastases. Patients were male and diagnosed with type B cirrhosis and hepatocellular carcinoma. Has undergone radiofrequency ablation, transcatheter arterial chemoembolization, and percutaneous ethanol injection. Despite these treatments, there are still active lesions in stages S4 and S8. We performed a mid-segmental hepatic resection next to the right mid-side and the left side of the patient. Six months later, serum AFP and PIVKA-2 levels were elevated at 189 ng / ml and 507 m AU / ml, respectively. Abdominal enhanced CT tips abdominal aortic right 2.0 cm occupy, fluorine-18 fluoride deoxy glucose