Cryoablation of cardiophrenic angle lymph node metastases: a case report

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

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.

Publication types

  • Case Reports

MeSH terms

  • Cryosurgery*
  • Humans
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery
  • Lymph Node Excision
  • Lymph Nodes / diagnostic imaging
  • Lymph Nodes / pathology
  • Lymph Nodes / surgery*
  • Lymphatic Metastasis / diagnostic imaging
  • Lymphatic Metastasis / pathology*
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed
  • Treatment Outcome