Author/Authors :
WANG, Qiang Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China , CUI, Yu Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China , REN, Li Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China , WANG, Haijiu Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China , WANG, Zhixin Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China , WANG, Hu Health Commission of Qinghai Province - Xining, China , FAN, Haining Department of Hepatobiliary and Pancreatic Surgery - Affiliated Hospital of Qinghai University, Xining, China
Abstract :
There is no direct evidence to support the existence of regional lymph node metastatic routes in hepatic alveolar echinococcosis, and only a few literature have been reported. There was a case of hepatic alveolar echinococcosis sus-pected of metastasis of regional lymph node in Clinical Center for Hydatidosis, Qinghai Province, China. The patient was a 24-yr-old male from pastoral area of Seda County, Sichuan Province, China in 2018. He was admitted to the hos-pital for physical examination and had no special discomfort. Preoperative ex-amination showed liver occupancy and regional lymph node enlargement in the space between liver and stomach. Hepatectomy and lymph node resections were performed. Postoperative pathological results showed that both primary and metastatic lesion were of alveolar echinococcosis. Recovery of patient was good without complications and recurrence. In this case, metastasis was con-sidered because the liver lesion was not directly connected to the lymph node. However, the case was still suspected due to the lack of pathological examina-tion of other lymph nodes in the lymphatic return pathway. Regional lymph node metastasis may be one of the metastatic ways of alveolar echinococcosis.
