Brachiocephalic Venous Aneurysm Mimicking Metastatic Cervical Lymphadenopathy in a Patient with Gastric Cancer: A Case Report
류민중, 임재광, 이호석,
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류민중 ( Ryu Min-Jung )
Yeungnam University College of Medicine Department of Radiology
임재광 ( Lim Jae-Kwang )
Kyungpook National University School of Medicine Department of Radiology
이호석 ( Lee Ho-Seok )
Kyungpook National University School of Medicine Department of Radiology
Abstract
Brachiocephalic venous aneurysm (BVA) development is an extremely rare, particularly as a primary vascular disorder. BVAs may be misinterpreted as lymphadenopathies owing to the variable degrees of enhancement seen in imaging studies, especially among patients with underlying malignancy. We report a BVA that mimicked lymph node metastasis on CT in a 60-year-old female who had undergone subtotal gastrectomy for stomach cancer. After follow-up chest CT with different bolus times and Doppler ultrasonography, a venous aneurysm originating from the brachiocephalic vein was diagnosed. We emphasize that, to make an accurate diagnosis, physicians should be aware of the potential diagnostic pitfalls and have a high index of suspicion for BVA when encountering certain lesions in the cervical area.
키워드
Brachiocephalic Vein; Metastasis; Lymph Node; Aneurysm
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