Abstract

CARNERO FERNANDEZ, M.; MORANO AMADO, L. E.; BODENLLE BELLO, P.  and  CALVO IGLESIAS, F.. Hepatocellular involving vascular structures and heart: diagnosis and treatment. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.10, pp.45-47. ISSN 0212-7199.

Hepatocellular carcinoma has a tendency to invade vascular structures. However, extension into the hepatic veins or heart is uncommon. We describe the case of a 68 years old man with chronic viral hepatitis type C, consulting about edema and pain in his left leg. Doppler scan showed deep venous thrombosis in that level and computed tomography of thorax and abdomen showed complete thrombosis of the inferior cava vein, thrombosis of the left suprahepatic vein, a voluminous thrombus in the right atrium and an irregular mass in the liver. Alpha-fetoprotein was 77,046 ng/ml The biopsy of the rigth atrium thrombus demonstrated diseminated hepatocellular carcinoma. We comment the patient progress after surgery, the incidence, clinical symptoms, and therapy options for these patients.

Keywords : Hepatocellular carcinoma; Tumor thrombus; Intracardiac metastasis.

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