VATS Resection of Right Cardiophrenic Lymphnodes

<p>The cardiophrenic angle lymphnodes were classified by Rouvière (1) as diaphragmatic lymphnodes 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.</p> <p> </p> <p>They are rarely involved in primary thoracic malignancies but are frequently affected in ovarian cancer.</p> <p> </p> <p>In this case we describe VATS resection of enlarged, PET FDG positive, right cardiophrenic lymphnodes in a patient with previous breast cancer and mediastinal lymphoma – treated by chemoradiotherapy. Final histology was negative for cancer (reactive hyperplasia).</p> <p><b>References</b></p> <p>1. Rouvière H. Anatomie des Lymphatiques de l ‘Homme. Masson et Cie, Paris, 1932.</p>