SURGICAL-MANAGEMENT FOR LYMPH-NODE RECURRENCE OF RESECTED FIBROLAMELLAR CARCINOMA OF THE LIVER - A CASE-REPORT

Fibrolamellar carcinoma of the liver (FLC), which is very rare in Japa n, is reported to be frequently accompanied by lymph node metastasis i n Europe and the United States. We describe a 22-year-old man with rec urrent FLC in the lymph nodes after undergoing partial hepatectomy. He underwent a second operation for removal of recurrent lymph node tumo rs in the mediastinum and abdominal cavity one year after initial surg ery. However, a third operation became necessary seven months later, b ecause of recurrence in a lymph node in the abdominal cavity. We discu ss the management of lymph node metastasis from FLC.