Isolated metastasis of hepatocellular carcinoma in the right ventricle

BMC Cardiovascular Disorders

Si-hua Ren¹  Yang-jie Xiao²  Lu Sun²  Xiang-hong Yang²  Xin-tong Zhang²  Ying Li²  Fei-fei Sun²  Wei-dong Ren²  Guang Song²  Xue-ying Tan² 

[1] Department of Radiology, The First Hospital of China Medical University;Department of Ultrasound, Shengjing Hospital of China Medical University;

关键词: Hepatocellular carcinoma;    Metastasis;    Echocardiography;    Right ventricle;    Treatment;    Inflow obstruction;   

DOI  :  10.1186/s12872-019-01290-6

来源: DOAJ

【 摘 要 】

Abstract Background Hepatocellular carcinoma (HCC) with right ventricle metastasis without inferior vena cava and right atrium involvement is very rare and the prognosis of HCC with RV metastasis is generally poor. The mass in the cardiac chamber may lead to lethal instability of hemodynamics, however, the initial symptom is probably non-specific, which means that diagnosis timely becomes even harder. Case presentation We present a 63-year-old male with isolated metastasis of HCC in the right ventricle which caused inflow obstruction. Moreover, we reviewed a series of studies of isolated metastasis of hepatocellular carcinoma between 1980 and 2018, and summarized the relative outcomes. Conclusions Isolated metastasis of hepatocellular carcinoma in the right ventricle is extraordinarily rare. It may damage cardiac structure and broke hemodynamic balance. Multimodality imaging plays an important in accurate pre-operation assessment. Nowadays, palliative treatments could relieve fatal symptoms to some degree, however, standard treatment has not been well established.

【 授权许可】

Unknown