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A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus

Hepatocellular carcinoma (HCC) is a complication of end stage liver disease. Even rarer is right atrial tumor thrombus burden due to HCC. Common metastatic sites of HCC in descending order are lung, peritoneum, and bone. We present a patient with liver cirrhosis due to nonalcoholic fatty liver disea...

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Detalles Bibliográficos
Autores principales: Aboona, Majd B, Zhou, Wendi, Wijarnpreecha, Karn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299851/
https://www.ncbi.nlm.nih.gov/pubmed/37384080
http://dx.doi.org/10.7759/cureus.39611
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author Aboona, Majd B
Zhou, Wendi
Wijarnpreecha, Karn
author_facet Aboona, Majd B
Zhou, Wendi
Wijarnpreecha, Karn
author_sort Aboona, Majd B
collection PubMed
description Hepatocellular carcinoma (HCC) is a complication of end stage liver disease. Even rarer is right atrial tumor thrombus burden due to HCC. Common metastatic sites of HCC in descending order are lung, peritoneum, and bone. We present a patient with liver cirrhosis due to nonalcoholic fatty liver disease (NAFLD) admitted due to incidental finding of right atrial thrombus on echocardiography after missing HCC surveillance for four years. Patient received a computed tomography (CT) scan that showed an inconclusive liver lesion despite two liver biopsies, and patient was incidentally found to have clear cell HCC diagnosed after right hepatectomy. Right atrial thrombus was treated with surgical thrombectomy and pathology showed necrotic HCC thrombi in right atrium with bile pigment. Due to the possibility of tumor growth with extrahepatic manifestations, screening in compensated cirrhosis is essential.
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spelling pubmed-102998512023-06-28 A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus Aboona, Majd B Zhou, Wendi Wijarnpreecha, Karn Cureus Internal Medicine Hepatocellular carcinoma (HCC) is a complication of end stage liver disease. Even rarer is right atrial tumor thrombus burden due to HCC. Common metastatic sites of HCC in descending order are lung, peritoneum, and bone. We present a patient with liver cirrhosis due to nonalcoholic fatty liver disease (NAFLD) admitted due to incidental finding of right atrial thrombus on echocardiography after missing HCC surveillance for four years. Patient received a computed tomography (CT) scan that showed an inconclusive liver lesion despite two liver biopsies, and patient was incidentally found to have clear cell HCC diagnosed after right hepatectomy. Right atrial thrombus was treated with surgical thrombectomy and pathology showed necrotic HCC thrombi in right atrium with bile pigment. Due to the possibility of tumor growth with extrahepatic manifestations, screening in compensated cirrhosis is essential. Cureus 2023-05-28 /pmc/articles/PMC10299851/ /pubmed/37384080 http://dx.doi.org/10.7759/cureus.39611 Text en Copyright © 2023, Aboona et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Aboona, Majd B
Zhou, Wendi
Wijarnpreecha, Karn
A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title_full A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title_fullStr A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title_full_unstemmed A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title_short A Rare Type of Hepatocellular Carcinoma Presenting With Cardiac Thrombus
title_sort rare type of hepatocellular carcinoma presenting with cardiac thrombus
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299851/
https://www.ncbi.nlm.nih.gov/pubmed/37384080
http://dx.doi.org/10.7759/cureus.39611
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