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Case Reports
. 2022 Mar 23;14(3):e23416.
doi: 10.7759/cureus.23416. eCollection 2022 Mar.

Hepatocellular Carcinoma With Right Atrium Metastases

Andreia M Teixeira  1 , Iara Ferreira  1 , Ana L Barbosa  1 , Samuel Fonseca  1
Affiliations
Case Reports

Hepatocellular Carcinoma With Right Atrium Metastases

Andreia M Teixeira et al. Cureus. .

Abstract

Hepatocellular carcinoma is common in patients with cirrhosis regardless of the etiology. Its presentation is uncommon in patients without known cirrhosis. It can spread commonly to the lungs, abdominal lymph nodes and bone but cardiac metastases are rare. The screening and early diagnosis impact the treatment feasibility and prognosis. The most common etiologies of cirrhosis and hepatocellular carcinoma are alcohol consumption and viral hepatitis B and C, however, non-alcoholic fatty liver disease (NAFLD) is becoming a more pronounced known risk factor for steatosis, advanced liver fibrosis, cirrhosis, and thus hepatocellular carcinoma due to the rise of metabolic syndrome prevalence. Although a known risk factor, there are no current recommendations for cancer surveillance in patients with NAFLD. The aim of this paper is to raise awareness of this rising complication by describing a rare initial presentation of hepatocellular carcinoma.

Keywords: cardiac metastases; cardiac tumours; chronic liver disease; cirrhosis; hepatocellular carcinoma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computerized tomography (CT) with angiography
Computerized tomography with angiography showing a liver mass compatible with hepatocarcinoma (outlined by the stars).
Figure 2
Figure 2. Computerized tomography (CT) with angiography with vena cava invasion
Computerized tomography (CT) with angiography showing a liver mass compatible with hepatocellular carcinoma with vena cava invasion (arrow).
Figure 3
Figure 3. Computerized tomography (CT) with angiography with right atrium invasion
Computerized tomography (CT) with angiography showing contiguous right atrium invasion (arrow).
See this image and copyright information in PMC

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