A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus.
cirrhosis
hepatocellular carcinoma
hepatology
non alcoholic fatty liver
right atrial thrombus
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
accepted:
28
05
2023
medline:
29
6
2023
pubmed:
29
6
2023
entrez:
29
6
2023
Statut:
epublish
Résumé
Hepatocellular carcinoma (HCC) is a complication of end stage liver disease. Even rarer is right atrial tumor thrombus burden due to HCC. Common metastatic sites of HCC in descending order are lung, peritoneum, and bone. We present a patient with liver cirrhosis due to nonalcoholic fatty liver disease (NAFLD) admitted due to incidental finding of right atrial thrombus on echocardiography after missing HCC surveillance for four years. Patient received a computed tomography (CT) scan that showed an inconclusive liver lesion despite two liver biopsies, and patient was incidentally found to have clear cell HCC diagnosed after right hepatectomy. Right atrial thrombus was treated with surgical thrombectomy and pathology showed necrotic HCC thrombi in right atrium with bile pigment. Due to the possibility of tumor growth with extrahepatic manifestations, screening in compensated cirrhosis is essential.
Identifiants
pubmed: 37384080
doi: 10.7759/cureus.39611
pmc: PMC10299851
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e39611Informations de copyright
Copyright © 2023, Aboona et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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