Hepatocellular carcinoma with intracavitary cardiac involvement: a case report and review of the literature

The American Journal of Cardiology
Anthony D SungJoseph Loscalzo

Abstract

A 71-year-old man with hepatocellular carcinoma (HCC) presented with intracavitary cardiac involvement detected incidentally on surveillance computed tomography. Tumor with associated thrombus was found to extend from the liver through the inferior vena cava into the right atrium. This intracardiac mass prolapsed intermittently into the right ventricle, causing functional tricuspid stenosis. The mass was resected but recurred after 4 months, eventually causing refractory right-sided heart failure. This case illustrates how intracavitary cardiac involvement of HCC can develop insidiously and confer significant hemodynamic compromise. A review of the published research, including postmortem studies, demonstrates that the frequency of intracardiac mass lesions in HCC is not insignificant. In conclusion, early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced HCC.

References

May 1, 1973·The Journal of Pathology·P P Anthony
Feb 1, 1994·Journal of Gastroenterology·H NoguchiM Arakawa

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Citations

Oct 8, 2013·World Journal of Surgical Oncology·Kenji WakayamaAkinobu Taketomi
Jan 17, 2012·Revista clínica española·J M LobosL Silva
Nov 8, 2011·The American Journal of Medicine·Abdul Hamid AlraiyesM Chadi Alraies
May 11, 2013·Case Reports in Vascular Medicine·Christian SteinbergIsabelle Boulais
Mar 24, 2015·Molecular and Clinical Oncology·Kazuya FukuokaTakashi Nakano
Jun 24, 2014·Journal of the Saudi Heart Association·Hanan B Albackr
Aug 7, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jiong WangChun Zhang
Sep 9, 2017·Internal Medicine·Hiroaki TakayaHitoshi Yoshiji
Oct 30, 2019·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Mahmoud AbdelnabiSherif Abd Elsamad
Jan 1, 2014·Hepatic Oncology·Kristin L Mekeel, Alan W Hemming
Nov 6, 2020·Zeitschrift für Gastroenterologie·Yi-Xian Guo
Mar 30, 2021·CJC Open·Valéry LegrisNicolas Thibodeau-Jarry
Aug 1, 2021·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Mahmoud AbdelnabiSherif Abd ElSamad
Sep 15, 2021·Langenbeck's Archives of Surgery·Olga Radulova-MauersbergerCarina Riediger
Oct 5, 2021·GE Portuguese Journal of Gastroenterology·Eduardo DantasAna Paula Oliveira

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