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Right atrial mass associated with hepatoma--2 case reports.

Sohn JW, Yoon YM, Lee MH, Hahm JS, Kee CS, Lee BH, Park KN - Korean J. Intern. Med. (1994)

Bottom Line: Hepatoma has a tendency to spread into the venous system, but intracavitary cardiac extension or metastasis of hepatocellular carcinoma is an uncommon form of cardiac malignancy.But, echocardiography allowed easy detection of the intracardiac tumor thrombi.We advocate performing echocardiographic examination in patients with hepatoma who have cardiac symptoms and signs.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Han Yang University, Seoul, Korea.

ABSTRACT
Hepatoma has a tendency to spread into the venous system, but intracavitary cardiac extension or metastasis of hepatocellular carcinoma is an uncommon form of cardiac malignancy. When the carcinoma grows from the hepatic vein into the right atrium, the right atrial tumor thrombis may hinder the blood flow. Therefore, these patients have the risk of sudden death. In the past, antemortem diagnosis of right atrial tumor thrombi in patients with primary hepatocellular carcinoma was difficult. But, echocardiography allowed easy detection of the intracardiac tumor thrombi. We describe two cases of hepatocellular carcinoma with right atrial tumor thrombi. In these cases, the right atrial tumor thrombi was detected by two-dimensional echocardiography. Recently, successful surgical removal of the right atrial tumor thrombi are reported in several cases. We advocate performing echocardiographic examination in patients with hepatoma who have cardiac symptoms and signs.

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Fine needle aspiration biopsy of the liver showing undifferentiated, large nucleated malignant cells. (Hematoxylin and eosin stain)
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f2-kjim-9-2-116-11: Fine needle aspiration biopsy of the liver showing undifferentiated, large nucleated malignant cells. (Hematoxylin and eosin stain)

Mentions: Laboratory examinations showed serum trans aminase(SGOT:89 IU/L. SGPT:33 IU/L, and GGT 105 IU/L). Blood count was normal. Abdominal ultrasonogram favored a hepatoma of the right lobe with a right hepatic vein thrombus(Fig. 1). Liver biopsy showed a poorly differentiated hepatocellular carcinoma(Fig. 2). The electrocardiogram was normal. Two-dimensional echocardiographic examination and transesophageal echocardiogram were performed, showing a large right atrial mass(Fig. 3). The IVC had a tumor, which appeared to be continuous with the right atrial mass.


Right atrial mass associated with hepatoma--2 case reports.

Sohn JW, Yoon YM, Lee MH, Hahm JS, Kee CS, Lee BH, Park KN - Korean J. Intern. Med. (1994)

Fine needle aspiration biopsy of the liver showing undifferentiated, large nucleated malignant cells. (Hematoxylin and eosin stain)
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4532065&req=5

f2-kjim-9-2-116-11: Fine needle aspiration biopsy of the liver showing undifferentiated, large nucleated malignant cells. (Hematoxylin and eosin stain)
Mentions: Laboratory examinations showed serum trans aminase(SGOT:89 IU/L. SGPT:33 IU/L, and GGT 105 IU/L). Blood count was normal. Abdominal ultrasonogram favored a hepatoma of the right lobe with a right hepatic vein thrombus(Fig. 1). Liver biopsy showed a poorly differentiated hepatocellular carcinoma(Fig. 2). The electrocardiogram was normal. Two-dimensional echocardiographic examination and transesophageal echocardiogram were performed, showing a large right atrial mass(Fig. 3). The IVC had a tumor, which appeared to be continuous with the right atrial mass.

Bottom Line: Hepatoma has a tendency to spread into the venous system, but intracavitary cardiac extension or metastasis of hepatocellular carcinoma is an uncommon form of cardiac malignancy.But, echocardiography allowed easy detection of the intracardiac tumor thrombi.We advocate performing echocardiographic examination in patients with hepatoma who have cardiac symptoms and signs.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Han Yang University, Seoul, Korea.

ABSTRACT
Hepatoma has a tendency to spread into the venous system, but intracavitary cardiac extension or metastasis of hepatocellular carcinoma is an uncommon form of cardiac malignancy. When the carcinoma grows from the hepatic vein into the right atrium, the right atrial tumor thrombis may hinder the blood flow. Therefore, these patients have the risk of sudden death. In the past, antemortem diagnosis of right atrial tumor thrombi in patients with primary hepatocellular carcinoma was difficult. But, echocardiography allowed easy detection of the intracardiac tumor thrombi. We describe two cases of hepatocellular carcinoma with right atrial tumor thrombi. In these cases, the right atrial tumor thrombi was detected by two-dimensional echocardiography. Recently, successful surgical removal of the right atrial tumor thrombi are reported in several cases. We advocate performing echocardiographic examination in patients with hepatoma who have cardiac symptoms and signs.

Show MeSH
Related in: MedlinePlus