A Case of Hepatocellular Carcinoma with a Solitary Mediastinal Metastasis

Kazuo Nishiura, Kenji Omura, Junzo Shimizu, Hiroshi Hikishima, Kenji Doden, Takashi Iwa

The First Department of Surgery, Kanazawa University School of Medicine

A 46-year-old woman was admitted to our hospital with epigastric pain and a tumor. CT and FCR tomography revealed a solitary mediastinal tumor at the left cardio phrenic angle. We diagnosed the condition as hepatocellular carcinoma with a solitary mediastinal metastasis at the left cardio phrenic angle. The metastatic lesion was located in the perimedical adipose tissue and no other metastasis was detected. Mediastinal metastasis of hepatocellular carcinoma without pulmonary metastasis is rare. A hepatocellular carcinoma with solitary mediastinal metastasis was accurately diagnosed and resected both lesions at the same time. This is considered to be the first reported case in Japan.

Key words
hepatocellular carcinoma, mediastinal metastasis, solitary distant metastasis

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Kazuo Nishiura The First Department of Surgery, Kanazawa University School of Medicine
13-1 Takara-machi, Kanazawa, 920 JAPAN

Accepted
December 12, 1990

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