肝细胞癌侵犯右心腔：1例报告及文献复习

Hepatocellular carcinoma with invasion into right cardiac cavities: report of a case and literature review.

作者信息

Martínez Baca-López Francisco, Ramírez-Arias Erick, Rayas-Gómez Ana Lilia, Bernal-Ruiz Enrique Alfredo, Saturno-Chiu Guillermo

机构信息

Echocardiography Service, Hospital of Cardiology, Century XXI National Medical Center, IMSS, Av. Cuauhtémoc 330, Col. Doctores, 06720 México, D.F., México.

出版信息

J Am Soc Echocardiogr. 2004 Feb;17(2):192-4. doi: 10.1016/j.echo.2003.10.007.

DOI:10.1016/j.echo.2003.10.007

PMID:14752497

Abstract

Hepatocellular carcinoma is a tumor that rarely invades the inferior vena cava and right heart. We describe the case of a 63-year-old man with jaundice and a history of cryptogenic hepatic cirrhosis with diagnosis of hepatocellular carcinoma. He was referred to the echocardiography laboratory for sudden dyspnea and suggestion of pulmonary thromboembolism. Echocardiographic study reported a mass in the right atrium proceeding from the inferior vena cava.

摘要

肝细胞癌是一种很少侵犯下腔静脉和右心的肿瘤。我们描述了一例63岁男性病例，该患者有黄疸症状，有隐源性肝硬化病史，诊断为肝细胞癌。他因突发呼吸困难和疑似肺血栓栓塞被转诊至超声心动图实验室。超声心动图检查报告显示右心房有一个来自下腔静脉的肿块。