Mularek-Kubzdela T, Stachowiak W, Grajek S, Skorupski W, Juszkat R, Půzak D, Cieśliński A, Ziemiański A
Kliniki Kardiologii Instytutu Kardiologii AM w Poznaniu.
Pol Arch Med Wewn. 1996 Mar;95(3):245-9.
We present a case report of primary hepatocellular carcinoma with tumor thrombus extending into the right atrium complicated by pulmonary embolism. A 49-year-old man was admitted to our hospital for searching a cause of thrombus in the right atrium. The patient complained of shortness of breath and oedema of the lower extremities. He had a history of hepatitis B. Abdominal sonography and computed tomography revealed a tumor of the liver. A needle biopsy confirmed the diagnosis of hepatocellular carcinoma. Magnetic resonance showed a tumor thrombus also in the inferior vena cava. The diagnosis of pulmonary embolism was confirmed by pulmonary perfusion scintigraphy. This case stresses that clinicians should include hepatocellular carcinoma among the possible causes of intracardiac thrombus and pulmonary embolism.
我们报告一例原发性肝细胞癌合并肿瘤血栓延伸至右心房并并发肺栓塞的病例。一名49岁男性因查找右心房血栓病因入住我院。患者主诉呼吸急促和下肢水肿。他有乙型肝炎病史。腹部超声和计算机断层扫描显示肝脏有肿瘤。针吸活检确诊为肝细胞癌。磁共振成像显示下腔静脉也有肿瘤血栓。肺灌注闪烁扫描证实了肺栓塞的诊断。该病例强调临床医生应将肝细胞癌列为心内血栓和肺栓塞的可能病因之一。
