Hepatocellular carcinoma with inferior vena cava and right atrium thrombus: A case report

被引:3
作者
Liu, Jin [1 ]
Zhang, Ri-Xin [1 ]
Dong, Bing [1 ]
Guo, Kun [2 ]
Gao, Zhen-Ming [1 ]
Wang, Li-Ming [1 ]
机构
[1] Dalian Med Univ, Dept Gen Surg, Div Hepatobiliary & Pancreat Surg, Affiliated Hosp 2, 467 Zhongshan Rd, Dalian 116023, Liaoning, Peoples R China
[2] Dalian Med Univ, Dept Pathol, Affiliated Hosp 2, Dalian 116023, Liaoning, Peoples R China
基金
中国国家自然科学基金;
关键词
Cardiopulmonary bypass; Hepatic neoplasms; Hepatic vein tumor thrombus; Liver resection; Transcatheter arterial chemoembolization; Case report; TUMOR THROMBUS; SURGICAL-TREATMENT;
D O I
10.12998/wjcc.v9.i26.7893
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND Hepatocellular carcinoma (HCC) with inferior vena cava and right atrium thrombus is rare, accounting for approximately 1.4%-4.9% of cases. These patients are rarely reported, but the condition is being increasingly discovered with advances in imaging techniques, and their prognosis is extremely pessimistic with no current effective treatment. This condition is further associated with unexpected sudden death by cardiac arrest and acute large area pulmonary embolism. CASE SUMMARY A 34-year-old man with advanced HCC with a hepatic vein thrombus extending into the right atrium had a long-term, disease-free survival following 5-mo sequential treatment combined with transcatheter arterial chemoembolization and curative liver resection. No severe adverse effects were encountered, such as massive hemorrhage or pulmonary embolism. The proper selection of operative method is an important factor. CONCLUSION HCC with a tumor thrombus extending into the right atrium has a significant impact on the survival of patients. Thrombectomy combined with adjuvant therapy may be beneficial for these patients.
引用
收藏
页码:7893 / 7900
页数:8
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