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VATS Resection of Right Cardiophrenic Lymph Nodes
The cardiophrenic angle lymph nodes were classified by Rouvière (1) as diaphragmatic lymph nodes and divided into: 1) Anterior (prepericardic) draining portions of the diaphragm, liver , pleura, and abdominal wall into the internal mammary chain 2) Middle (lateropericardic or juxtaphrenic) draining portions of the diaphragm, pericardium, pleura, and liver into the anterior mediastinal chain. They are rarely involved in primary thoracic malignancies but are frequently affected in ovarian cancer.
In this case, we describe the VATS resection of enlarged, PET FDG positive, right cardiophrenic lymph nodes in a patient with previous breast cancer and mediastinal lymphoma, which had been treated by chemoradiotherapy. Final histology was negative for cancer (reactive hyperplasia).
1. Rouvière H. Anatomie des Lymphatiques de l ‘Homme. Masson et Cie, Paris, 1932.
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