Metastatic Hepatocellular Carcinoma Into the Right Atrium and Ventricle: Echocardiographic Diagnosis and Follow‐Up

Vlasseros, I.; Tapanlis, E.N.; Katsaros, Andreas; Kountouras, Dimitrios; Gialafos, Ioannis H.

doi:10.1046/j.1540-8175.2003.03047.x

Cited by 7 publications

(7 citation statements)

References 3 publications

(5 reference statements)

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“…[1,2] However, such metastases usually invade the heart through the vascular system or by infiltrating the heart from neighboring organs. HCC with RV metastasis without inferior venous cava and right atrium metastasis is rarely reported, [3] and it may be caused by the hematogenous spread of cancer cells. [4] Patients who present with right cardiac cavities with tumor invasion are difficult to be diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Isolated metastasis of hepatocellular carcinoma in the right ventricle

Kim

Shin²,

Kwon³

2016

Medicine

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Metastatic hepatocellular carcinoma (HCC) of the right ventricle is very rare and difficult to diagnosis.A 79-year-old man who underwent right hemi-hepatectomy for HCC was admitted to our hospital for chest pain, severe dyspnea, and orthopnea. The echocardiogram showed a tumor located in the right ventricle. A biopsy was obtained, and histopathological findings confirmed metastatic HCC. Palliative resection of the tumor was performed.There is no standard treatment for metastatic HCC into the right ventricle. Thus, treatment should be individualized to the patient, and a multidisciplinary approach should be used.

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Section: Discussionmentioning

confidence: 99%

Isolated metastasis of hepatocellular carcinoma in the right ventricle

Kim

Shin²,

Kwon³

2016

Medicine

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“…Right atrial involvement occurs in 1–4% of the cases 1 . Extension through the tricuspid valve to the right ventricle has also been reported 6 . Antemortem diagnosis is uncommon 5 .…”

Section: Discussionmentioning

confidence: 99%

“…1 Extension through the tricuspid valve to the right ventricle has also been reported. 6 Antemortem diagnosis is uncommon. 5 Differential diagnosis of the right atrial mass included other tumors invading right side of the heart (such as renal cell carcinoma) and thrombus.…”

Section: Discussionmentioning

confidence: 99%

Hepatocellular Carcinoma with Right Atrial Extension in a Young Patient with Congenitally Unguarded Tricuspid Orifice

et al. 2006

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Hepatocellular carcinoma (HCC) with isolated right atrial metastasis is extremely rare; most cases are considered inoperable. We herein report the case of a 74-year-old man with HCC with isolated right atrial metas-tases without hepatic vein invasion; the right atrial lesion was resected because of the risk of heart failure and sudden death. Postoperatively, he underwent transcatheter arterial chemoembolization and radiofrequency ab-lation for intrahepatic HCC. He recovered completely, with a long-term survival of 36 months. This is the first report of an HCC patient with isolated right atrial metastases without hepatic vein invasion. Tumorec-tomy for solitary atrial metastasis is effective for HCC patients.

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“…The most common extrahepatic metastatic sites are the lung in 55%, the abdominal lymph nodes in 41%, and the bone in 28% of patients, while its cardiac metastasis is rare 2 . Several reports have described cardiac tumor metastases to the epicardium or myocardium but rarely invading the cardiac cavities 3–5 . We report two cases of unusual extension of HCC into the right atrium (RA) incidentally detected during two‐dimensional echocardiography (2DE).…”

mentioning

confidence: 99%

“…2 Several reports have described cardiac tumor metastases to the epicardium or myocardium but rarely invading the cardiac cavities. [3][4][5] We report two cases of unusual extension of HCC into the right atrium (RA) incidentally detected during two-dimensional echocardiography (2DE).…”

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confidence: 99%

Right Atrial Metastasis Mimicking Myxoma in Advanced Hepatocellular Carcinoma

et al. 2010

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Hepatocellular carcinoma is the most common primary tumor of the liver accounting for 4.6% of all new human cancers. Cardiac metastasis in hepatocellular carcinoma is an uncommon secondary cardiac malignancy. We described two cases of advanced hepatocellular carcinoma with large masses in the right atrium mimicking atrial myxoma. The RA masses were incidentally detected during two-dimensional echocardiographic examination.

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Metastatic Hepatocellular Carcinoma Into the Right Atrium and Ventricle: Echocardiographic Diagnosis and Follow‐Up

Cited by 7 publications

References 3 publications

Isolated metastasis of hepatocellular carcinoma in the right ventricle

Isolated metastasis of hepatocellular carcinoma in the right ventricle

Hepatocellular Carcinoma with Right Atrial Extension in a Young Patient with Congenitally Unguarded Tricuspid Orifice

Right Atrial Metastasis Mimicking Myxoma in Advanced Hepatocellular Carcinoma

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