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KMID : 0371320060700010077
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Journal of the Korean Surgical Society
2006 Volume.70 No. 1 p.77 ~ p.82
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Solitary Paraaortic Lymph Node Metastasis of Primary Hepatocellular Carcinoma Misdiagnosed as Primary Retroperitoneal Tumor
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이재길/Lee JG
강창무/김경식/최진섭/이우정/김병로/박영년/Kang CM/Kim KS/Choi JS/Lee WJ/Kim BR/Park YN
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Abstract
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The prognosis of primary hepatocellular carcinoma is very poor, and a curative resection is capable only in few selected patients. Most patients die from tumor recurrence. The rate of intrahepatic recurrence of hepatocellular carcinoma is much higher than extrahepatic recurrence or metastasis. The most common site of extrahepatic metastasis is lung, and followed by lymph nodes, bone and adrenal gland. Common sites of node metastasis are celiac lymph nodes and hepatoduodenal lymph nodes, however paraaortic lymph node metastasis is very rare. Here, we report an experience of solitary paraaortic lymph node metastasis from hepatocellular carcinoma which was misdiagnosed as primary retroperitoneal tumor by preoperative imaging studies. (J Korean Surg Soc 2006;70:77-82)
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