Dendale P, op de Beeck B, de Ridder F, Claessens F, Osteaux M, Block P
Department of Cardiology, A.Z.-V.U.B., Brussels, Belgium.
Int J Card Imaging. 1994 Sep;10(3):233-5. doi: 10.1007/BF01137905.
Hepatocellular carcinoma is the most common primary malignant liver tumor occurring in more than 1 million cases a year all over the world. Vascular invasion is known to occur in 30% of patients at initial presentation [1]. An extension of the tumor into the right atrium is well described in the literature [2], with surgical resection as the only procedure available. But the diagnosis is often difficult before death. We report a case in which magnetic resonance imaging of liver and heart shows the extension of this tumor into the right atrium.
肝细胞癌是最常见的原发性肝脏恶性肿瘤,全球每年发病超过100万例。已知30%的患者在初次就诊时就已发生血管侵犯[1]。肿瘤延伸至右心房在文献中有充分描述[2],手术切除是唯一可行的治疗方法。但在患者死亡前,诊断往往很困难。我们报告1例通过肝脏和心脏磁共振成像显示该肿瘤延伸至右心房的病例。