Hepatocellular carcinoma with inferior vena cava and right atrial tumor thrombus: A case report
- PMID: 31661575
- DOI: 10.1111/echo.14520
Hepatocellular carcinoma with inferior vena cava and right atrial tumor thrombus: A case report
Abstract
This is a case report of a 45-year-old patient admitted with the symptom of bilateral leg swelling. Ultrasonography revealed a hyperechoic mass in the right lobe of the liver, which invaded the right hepatic vein (RHV) and extended into the inferior vena cava (IVC) and right atrium (RA). Based on the high alpha-fetoprotein (AFP) level and the ultrasonography findings, the patient was diagnosed as having hepatocellular carcinoma (HCC) with a RHV, IVC, and RA tumor thrombus and secondary Budd-Chiari syndrome (BCS). HCC with a tumor thrombus extending into the IVC and RA has rarely been observed, and as a cause of secondary BCS, this type of HCC has been even more rarely reported.
Keywords: hepatocellular carcinoma; inferior vena cava; right atrium; tumor thrombus.
© 2019 Wiley Periodicals, Inc.
References
REFERENCES
-
- Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics 2002. CA Cancer J Clin. 2005;55:74-108.
-
- Pesi B, Giudici F, Moraldi L, et al. Hepatocellular carcinoma on cirrhosis complicated with tumoral thrombi extended to the right atrium: results in three cases treated with major hepatectomy and thrombectomy under hypothermic cardiocirculatory arrest and literature review. World J Surg Oncol. 2016;14:83.
-
- Bălăceanu LA, Diaconu CC, Aron G. Budd-Chiari syndrome as an initial presentation of hepatocellular carcinoma: a case report. Med Ultrason. 2014;16:172-174.
-
- Ohta M, Nakanishi C, Kawagishi N, et al. Surgical resection of recurrent extrahepatic hepatocellular carcinoma with tumor thrombus extending into the right atrium under cardiopulmonary bypass: a case report and review of the literature. Surg Case Rep. 2016;2:110.
-
- Pandya H, Shah C, Lakhani J, Patel M. Intra-atrial tumour thrombus secondary to hepatocellular carcinoma. Australas Med J. 2013;6:321-324.
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