Substernal mass : a rare presentation of hepatocellular carcinoma
Joint Authors
Wang, Kevin Yuqi
Rad, Muhammad Qasimi
David, Doina
Arsene, Camelia
Source
Issue
Vol. 34, Issue 6 (30 Nov. 2019), pp.560-563, 4 p.
Publisher
Publication Date
2019-11-30
Country of Publication
Oman
No. of Pages
4
Main Subjects
Topics
Abstract EN
A 62-year-old female with a history of hepatitis C presented with one week of worsening abdominal distension.
On physical examination, she had icterus, abdominal distension, shifting dullness, and a positive fluid wave.
Computed tomography (CT) of the abdomen and pelvis demonstrated a small left hepatic lobe lesion and moderate ascites.
Chest CT demonstrated a large substernal mass (3.5 × 1.7 cm) in the anterior mediastinal fat in the region of prepericardial lymph nodes.
Following resection of the substernal mass, histopathology revealed metastatic involvement by poorly differentiated hepatocellular carcinoma (HCC).
The patient was in fulminant liver failure postoperatively and succumbed to her disease.
Mediastinal lymph nodes metastases in HCC are rare and often portend a poor prognosis when present.
We discuss a case of HCC presenting with a substernal mass, and provide a literature review of the management and prognosis of lymphatic spread of HCC.
American Psychological Association (APA)
Wang, Kevin Yuqi& Rad, Muhammad Qasimi& Arsene, Camelia& David, Doina. 2019. Substernal mass : a rare presentation of hepatocellular carcinoma. Oman Medical Journal،Vol. 34, no. 6, pp.560-563.
https://search.emarefa.net/detail/BIM-900549
Modern Language Association (MLA)
Wang, Kevin Yuqi…[et al.]. Substernal mass : a rare presentation of hepatocellular carcinoma. Oman Medical Journal Vol. 34, no. 6 (Nov. 2019), pp.560-563.
https://search.emarefa.net/detail/BIM-900549
American Medical Association (AMA)
Wang, Kevin Yuqi& Rad, Muhammad Qasimi& Arsene, Camelia& David, Doina. Substernal mass : a rare presentation of hepatocellular carcinoma. Oman Medical Journal. 2019. Vol. 34, no. 6, pp.560-563.
https://search.emarefa.net/detail/BIM-900549
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 563
Record ID
BIM-900549