Title: Hepatocellular Carcinoma with Bi-atrial invasion
Authors: Uthaya Sankar M.K, Sibi Chakravarthy.C, Naveen Sathish.V
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.43
Abstract
Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver. The Right heart is affected in up to 2% of metastatic HCC cases. However this was the first case of HCC to be reported with bi-atrial involvement. CECT showed Multifocal HCC in right lobe of liver with tumour thrombus extending along right portal vein, right hepatic vein into IVC and right atrium and extending across the atrial septum into left atrium via sinus venosus ASD. Intracardiac involvement has got very poor prognosis.
References
- Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J. Harrison’s principle of internal medicine twentieth edition New York: The McGraw-Hill Companies;2018.p579.
- Chang JY, Ka WS, Chao TY, Chuang TR, Chen LT. Hepatocellular carcinoma with intra-atrial tumour thrombi. A report of three cases responsive to thalidomide treatment and literature review. Oncology 2004;67(3-4):320-6.
- Luo X, Zhang B, Dong S, Zhang B, Chen X. Hepatocellular carcinoma with tumour thrombus occupying the right atrium and portal vein: A case report and literature review. Medicine (Baltimore) 2015; 94:e1049.