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Hepatocellular Carcinoma with Invasion into the Right Atrium: A Case Report

肝細胞癌併右心房轉移:病例報告

摘要


肝細胞癌(肝癌)有一個很大的傾向的是靜脈侵襲,轉移性肝癌侵犯到右心房是很少的個案。我們報告一位50歲男性病患酒精性肝硬化病史,後來診斷為肝細胞癌。肝癌細胞經由靜脈侵襲到右心房。由於病人不希望任何侵入性治療,患者只接受thalidomide治療。兩個星期後,他死於循環系統衰竭。

關鍵字

肝癌 轉移 心臟

並列摘要


Hepatocellular carcinoma (HCC) has a great tendency toward venous invasion; however, metastatic HCC invasion into the right atrial cavity was rarely reported. We herein report a rare case of right atrial invasion from hepatocellular carcinoma in a 50-year-old man with history of alcoholic liver cirrhosis, and later diagnosed as hepatocellular carcinoma. Because of the patient did not wish any invasive therapy, he received compassionate thalidomide therapy only. Two weeks later, he died of circulatory collapse. Cardiac involvement of HCC should be considered when a patient with a history of chronic hepatic disease presents with unexplained cardiac symptoms or refractive leg edema. Keeping a low threshold for cardiac image surveillance is suggested.

並列關鍵字

hepatocellular carcinoma metastasis heart

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