A Patient with Hepatocellular Carcinoma with Isolated Right Atrial Metastases

被引：7

作者：

Takaya, Hiroaki ^{[1
]}

Kawaratani, Hideto ^{[1
]}

Seki, Kenichiro ^{[1
]}

Okura, Yasushi ^{[2
]}

Kitade, Mitsuteru ^{[1
]}

Namisaki, Tadashi ^{[1
]}

Sawai, Masayoshi ^{[1
]}

Sawada, Yasuhiko ^{[1
]}

Kubo, Takuya ^{[1
]}

Mitoro, Akira ^{[1
]}

Yamao, Junichi ^{[2
]}

Yoshiji, Hitoshi ^{[1
]}

机构：

[1] Nara Med Univ, Dept Internal Med 3, Kashihara, Nara, Japan

[2] Nara Med Univ, Dept Endoscopy, Kashihara, Nara, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 19期

关键词：

hepatocellular carcinoma; right atrial metastases; transcatheter arterial chemoembolization; radiofrequency ablation; chronic hepatitis type C; SURVIVAL; TUMORS; HEART;

D O I：

10.2169/internalmedicine.8568-16

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Hepatocellular carcinoma (HCC) with isolated right atrial metastasis is extremely rare; most cases are considered inoperable. We herein report the case of a 74-year-old man with HCC with isolated right atrial metastases without hepatic vein invasion; the right atrial lesion was resected because of the risk of heart failure and sudden death. Postoperatively, he underwent transcatheter arterial chemoembolization and radiofrequency ablation for intrahepatic HCC. He recovered completely, with a long-term survival of 36 months. This is the first report of an HCC patient with isolated right atrial metastases without hepatic vein invasion. Tumorectomy for solitary atrial metastasis is effective for HCC patients.

引用

页码：2589 / 2594

页数：6

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