Suspected Regional Lymph Node Metastasis in Hepatic Alveolar Echinococcosis: A Case Report

  • Qiang WANG Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China
  • Yu CUI Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China
  • Li REN Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China .Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai 810001, P.R.China
  • Haijiu WANG Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China.Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai 810001, P.R.China
  • Zhixin WANG Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China .Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai 810001, P.R.China
  • Hu WANG Health Commission of Qinghai Province, Xining, Qinghai 810001, P.R.China
  • Haining FAN Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai 810001, P.R.China .Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai 810001, P.R.China
Keywords: Hepatic alveolar echino-coccosis, Regional lymph node me-tastasis, 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 suspected 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 hospital for physical examination and had no special discomfort. Preoperative examination 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 considered because the liver lesion was not directly connected to the lymph node. However, the case was still suspected due to the lack of pathological examination of other lymph nodes in the lymphatic return pathway. Regional lymph node metastasis may be one of the metastatic ways of alveolar echinococcosis.

References

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Published
2020-03-10
How to Cite
1.
WANG Q, CUI Y, REN L, WANG H, WANG Z, WANG H, FAN H. Suspected Regional Lymph Node Metastasis in Hepatic Alveolar Echinococcosis: A Case Report. Iran J Parasitol. 15(1):138-141.
Section
Case Report(s)