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After resection, the patient received antineoplastic agents(7 courses of modified FOLFOX6 followed by 3 courses of S-1). Pathological examination revealed adenocarcinoma similar to the liver metastasis. Metachronous mediastinal lymph node metastasis from liver metastasis ofcolon cancer was diagnosed, and resection ofthe mediastinal lymph nodes was performed. High FDG uptake by this tumor was seen on positron emission tomography-CT.

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