Cardiac Metastases from Hepatocelluar Carcinoma-Can It be Identified Early? | Chapter 14 | Emerging Research in Medical Sciences Vol. 2
A number of diseases may cause right a
trial mass. Primary cardiac tumors range from0.002 to 0.25%. Intra cardiac
manifestation and pulmonary embolism of hepato cellular carcinoma (HCC) is a
very rare finding and uncommon even at autopsy. Here we describe the case of a
32-year-old Asian man who was referred for shortness of breath lasting for a
month, along with unproductive cough. He was a manual laborer with a history of
diabetes, alcoholism, and smoking. Clinically he was diagnosed as having
pulmonaryembolism. Echocardiogram showed a mass in the right atrium. Magnetic
resonance imaging showed that he had a large mass in the right atrium extending
down into the inferior vena cava. Further evaluation showed that he had chronic
liver disease with portal hypertension and was hepatitis B surface
antigen-positive, indicating hepatitis B infection. He underwent excision of
the mass, and the pathological report showed metastasis of HCC with multiple
vascular emboli in the lungs. As this is the second reported case of this kind
in the literature, we highlight the need of screening at least6-monthly all
patients with chronic liver disease, hepatitis B and C virus infection for the
early detection of HCC.
Author(s) Details
C. Rajasekharan
Government Medical College Hospital,
Trivandrum, India.
R. Parvathy
Regional Cancer Centre,
Trivandrum, India.
D. S. Anand Raja
Government Medical College
Hospital, Trivandrum, India.
R. Gayathry
Government Medical College
Ernakulam, India.
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