Chua S O, Chiang C W, Lee Y S, Liaw Y F, Chang C H, Hung J S
Section of Cardiology, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
J Ultrasound Med. 1989 Jul;8(7):347-52. doi: 10.7863/jum.1989.8.7.347.
Hepatoma with cardiac metastasis is difficult to diagnose antemortem. Herein we describe five cases of hepatoma with intracardiac metastasis detected with two-dimensional echocardiography (2DE). The clinical presentations include cardiac murmur, syncope, and chest pain. The 2DE demonstrated a right atrial (RA) mass in each case and the presence of tumor echoes in the inferior vena cava connecting with the RA mass in four. In three cases the cardiac tumor was removed, whereas the other two patients agreed only to liver biopsy, which confirmed the diagnosis. This paper emphasizes the practical utility of 2DE for early detection of intracardiac hepatoma and also describes the clinicopathologic correlation of such a disease entity.
肝癌伴心脏转移在生前很难诊断。在此，我们描述了5例经二维超声心动图（2DE）检测出的伴有心内转移的肝癌病例。临床表现包括心脏杂音、晕厥和胸痛。2DE显示每例均有右心房（RA）肿块，4例下腔静脉内有与RA肿块相连的肿瘤回声。3例切除了心脏肿瘤，而另外2例患者仅同意进行肝脏活检，活检结果证实了诊断。本文强调了2DE在早期检测心内肝癌方面的实际应用价值，并描述了这种疾病实体的临床病理相关性。
