Pandya Hetal, Shah Chaitri, Lakhani Jitendra, Patel Micky
Professor, S.B.K.S. Medical Institute and Research Centre, Vadodara, Gujarat, India.
Australas Med J. 2013 Jun 30;6(6):321-4. doi: 10.4066/AMJ.2013.1635. Print 2013.
Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-related mortality. Hepatitis B & C accounts for most HCC occurrences. It is very rare to see a tumour thrombus extending into the right atrium of the heart as a result of the invasion of HCC. This complication has a very poor prognosis as mean survival time is about three to four months. We encountered such a rare case of hepatocellular carcinoma having extensive tumour thrombus extending into the right atrium without any cardio respiratory distress or clinical finding suggestive of cardiovascular involvement.
肝细胞癌(HCC)是癌症相关死亡的主要原因之一。乙型和丙型肝炎是大多数HCC发生的原因。由于HCC侵犯导致肿瘤血栓延伸至心脏右心房的情况非常罕见。这种并发症的预后非常差,平均生存时间约为三到四个月。我们遇到了这样一例罕见的肝细胞癌病例,其广泛的肿瘤血栓延伸至右心房,但没有任何心肺窘迫或提示心血管受累的临床发现。