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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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2-D echocardiography showing thrombus in the right atrium.
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f5-kjim-9-2-116-11: 2-D echocardiography showing thrombus in the right atrium.

Mentions: Abdominal computed tomography revealed an ill-definded large inhomogeneous mass filling the entire right lobe of the liver with underlying liver cirrhosis and tumor thrombus in the upper portion of the IVC and the right atrium (Fig. 4). The electrocardiogram was normal. Two-dimensional echocardiogram manifested thrombus in the right atrium(Fig. 5). She expired 4 months later.


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)

2-D echocardiography showing thrombus in the right atrium.
© Copyright Policy
Related In: Results  -  Collection

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

f5-kjim-9-2-116-11: 2-D echocardiography showing thrombus in the right atrium.
Mentions: Abdominal computed tomography revealed an ill-definded large inhomogeneous mass filling the entire right lobe of the liver with underlying liver cirrhosis and tumor thrombus in the upper portion of the IVC and the right atrium (Fig. 4). The electrocardiogram was normal. Two-dimensional echocardiogram manifested thrombus in the right atrium(Fig. 5). She expired 4 months later.

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