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  • Title: Surgical management for lymph node recurrence of resected fibrolamellar hepatocellular carcinoma: a case report.
    Author: Hiramatsu K, Okamoto K, Uesaka K, Mukaiyama H, Seno T.
    Journal: Hepatogastroenterology; 1999; 46(26):1160-3. PubMed ID: 10370685.
    Abstract:
    Fibrolamellar hepatocellular carcinoma (FLHCC), which is quite uncommon in Japan, is known to be frequently associated with lymph node metastasis in Western countries. Herein, we describe a case of a 25 year-old Japanese woman with recurrent FLHCC in the lymph nodes after undergoing right hepatic lobectomy. She underwent a second operation for removal of a recurrent celiac lymph node tumor 23 months after the initial operation. In Japan, the frequency of lymph node metastasis in ordinary hepatocellular carcinoma is only 1.6%, whereas 3 out of 9 (33%) reported domestic FLHCCs including this case had lymph node metastasis. The surgical management of lymph node metastasis in FLHCC is discussed.
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