Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Aug 18, 2016; 8(23): 994-998
Published online Aug 18, 2016. doi: 10.4254/wjh.v8.i23.994
Metastatic recurrence to a solitary lymph node four years after hepatic lobectomy for primary hepatocellular carcinoma
Michael L Caparelli, Nathan J Roberts, Timothy S Braverman, Robert M Stevens, Edward R Broun, Shyam Allamaneni
Michael L Caparelli, Nathan J Roberts, Shyam Allamaneni, Department of Surgery, the Jewish Hospital, Cincinnati, OH 45236, United States
Timothy S Braverman, Department of Pathology, the Jewish Hospital, Cincinnati, OH 45236, United States
Robert M Stevens, Department of Radiology, the Jewish Hospital, Cincinnati, OH 45236, United States
Edward R Broun, Department of Oncology, Hematology Care, Inc., Cincinnati, OH 45236, United States
Author contributions: Caparelli ML wrote the paper; Caparelli ML, Roberts NJ and Allamaneni S designed the report and edited the content; Roberts NJ and Allamaneni S performed the operation; Braverman TS provided pathology report and micrographs; Stevens RM provided critical findings for imaging studies; Broun ER contributed intellectual discussion of the patient case; all members edited the report.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at the Jewish Hospital in Cincinnati.
Informed consent statement: The patient involved in this study gave her verbal consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shyam Allamaneni, MD, Surgical Oncologist, Department of Surgery, the Jewish Hospital, 4777 E Galbraith Road, Cincinnati, OH 45236, United States. drallamaneni@gmail.com
Telephone: +1-513-6865392 Fax: +1-513-6865394
Received: March 14, 2016
Peer-review started: March 14, 2016
First decision: April 20, 2016
Revised: May 9, 2016
Accepted: July 14, 2016
Article in press: July 18, 2016
Published online: August 18, 2016
Processing time: 156 Days and 21.6 Hours
Core Tip

Core tip: Recurrence of primary hepatocellular carcinoma to a solitary extracellular site is a rare occurrence, especially after complete hepatic lobectomy for the primary tumor. In this report we describe a case of recurrence to a solitary suprapancreatic lymph node four years after initial resection. This is the only report to describe such a recurrence this long after the primary resection.