Ulus Taner, Birdane Alparslan, Dündar Emine, Tünerir Bülent
Department of Cardiology, Eskişehir Osmangazi University, Eskişehir, Turkey.
Turk Kardiyol Dern Ars. 2012 Jan;40(1):52-4. doi: 10.5543/tkda.2012.01753.
Intracardiac involvement rarely develops in patients with hepatocellular carcinoma (HCC) and its prognosis is poor. Patients generally have symptoms of sudden dyspnea or massive lower extremity edema and the clinical course may be further complicated by many fatal cardiovascular complications. Absence of cardiac symptoms or findings, however, is an unusual condition. We present a 61-year-old man with HCC who was incidentally found to have an intracavitary mass completely occupying the right atrium. He had no cardiac complaints, nor any signs of cardiac involvement. The mass was first detected by computed tomography and then confirmed by transthoracic echocardiography. The patient underwent a successful surgical resection and the histopathologic diagnosis was HCC. Unfortunately, the postoperative course was complicated by the development of acute kidney failure and, despite hemodialysis treatment, the patient died of kidney failure eight days after the operation.
肝细胞癌（HCC）患者很少发生心内受累，其预后较差。患者通常有突发呼吸困难或大量下肢水肿的症状，临床病程可能因许多致命的心血管并发症而进一步复杂化。然而，没有心脏症状或体征是一种不寻常的情况。我们报告一名61岁的HCC男性患者，偶然发现有心腔内肿块完全占据右心房。他没有心脏不适，也没有任何心脏受累的迹象。该肿块首先通过计算机断层扫描检测到，然后经胸超声心动图证实。患者接受了成功的手术切除，组织病理学诊断为HCC。不幸的是，术后病程因急性肾衰竭的发生而复杂化，尽管进行了血液透析治疗，患者仍在术后八天死于肾衰竭。
