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Case Reports
. 2017 Aug 14;11(1):223.
doi: 10.1186/s13256-017-1313-4.

Cryoablation of cardiophrenic angle lymph node metastases: a case report

Xiaomei Luo  1 , Weibing He  2 , Xinan Long  2 , Gang Fang  3 , Zhonghai Li  4 , Rongrong Li  5 , Kecheng Xu  2 , Lizhi Niu  6   7
Affiliations
Case Reports

Cryoablation of cardiophrenic angle lymph node metastases: a case report

Xiaomei Luo et al. J Med Case Rep. .

Abstract

Background: Cardiophrenic angle lymph node metastases are relatively rare. Surgical resection is the main treatment for cardiophrenic angle lymph node metastasis, but it is not always possible.

Case presentation: Here, we report our initial experience with cryoablation of a cardiophrenic angle lymph node metastasis from liver cancer. As the cardiophrenic angle lymph node metastasis was located close to the heart, about 200 mL of 0.9% saline was injected into the pericardium to separate the heart from the target area. The cardiophrenic angle lymph node metastasis was successfully ablated, without any complications.

Conclusions: Cryoablation may be a suitable alternative treatment for cardiophrenic angle lymph node metastasis.

Keywords: Cardiophrenic angle lymph node; Cryoablation; Lymphatic metastasis.

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Figures

Fig. 1
Fig. 1
Preoperative images. a Follow-up positron emission tomography/computed tomography image at the local hospital; the arrow indicate the cardiophrenic angle lymph node metastasis. b Computed tomography image at our hospital; the size of the node is about 2.3 × 1.7 × 1.8 cm (arrow)
Fig. 2
Fig. 2
Intraoperative images of the patient. a Computed tomography image before cryoablation; the arrow indicates the tumor. b An 18G needle (arrow) was inserted into the pericardium and 200 mL of 0.9% saline solution was injected. c The thick arrow indicates the cryoprobes and the thin arrow indicates the 18G needle. d Computed tomography image of the ice ball (pink arrow) taken during the procedure to confirm that the ice ball had reached a sufficient size (3.5 × 3 × 2.8 cm3). The pink arrow indicates the cryoprobe
Fig. 3
Fig. 3
Computed tomography scan images obtained 3 day after cryoablation. The arrow indicate the ablated zone
Fig. 4
Fig. 4
Follow-up imaging examination after cryoablation. a Follow-up computed tomography scan 1 month later showed a 3.5 × 1.8 × 1.7 cm ablated zone, with no evidence of recurrence. b Follow-up positron emission tomography–computed tomography examination six month later showed no evidence of recurrence. The arrows indicate the ablated zone
See this image and copyright information in PMC

References

    1. Moulding FJ, Roach SC, Carrington BM. Unusual sites of lymph node metastases and pitfalls in their detection. Clin Radiol. 2004;59(7):558–72. doi: 10.1016/j.crad.2003.12.003. - DOI - PubMed
    1. Bang HJ, Littrup PJ, Currier BP, Goodrich DJ, Aoun HD, Klein LC, Kuo JC, Heilbrun LK, Gadgeel S, Goodman AC. Percutaneous cryoablation of metastatic lesions from non-small-cell lung carcinoma: initial survival, local control, and cost observations. J Vasc Interv Radiol. 2012;23(6):761–9. doi: 10.1016/j.jvir.2012.02.013. - DOI - PMC - PubMed
    1. Eguchi T, Takasuna K, Nakayama A, Ueda N, Yoshida K, Fujiwara M. Cardiophrenic angle lymph node metastasis from a fallopian primary tumor. Asian Cardiovasc Thorac Ann. 2012;20(1):74–6. doi: 10.1177/0218492311422756. - DOI - PubMed
    1. Holloway BJ, Gore ME, A’Hern RP, Parsons C. The significance of paracardiac lymph node enlargement in ovarian cancer. Clin Radiol. 1997;52(9):692–7. doi: 10.1016/S0009-9260(97)80034-7. - DOI - PubMed
    1. Gage AA, Baust JG. Cryosurgery - a review of recent advances and current issues. Cryo Letters. 2002;23(2):69–78. - PubMed

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