title: [Hepatocellular carcinoma with cardiovascular invasion. Report of five cases].
abstract: The diagnosis of hepatocellular carcinoma in cirrhotic patients has increased, mainly due to early detection using newer imaging techniques. The therapeutic approach depends on the tumor staging and the liver function. Cardiac involvement has a very bad prognosis. We report three males aged 59, 75 and 76 years and two females, aged 64 and 79 years. All had cirrhosis of diverse aetiologies with hepatocellular carcinoma and tumoral invasion of the inferior vena cava and right atrium. Three patients died during hospital stay and two were discharged for conservative management at home. This rare complication has to be considered in cirrhosis.
authors.affiliation: Sección de Gastroenterología, Hospital Clínico Universidad de Chile, Santiago.
authors.forename: José M
authors.initials: JM
authors.lastname: Valera
authors.forename: Roberto
authors.initials: R
authors.lastname: Merino
authors.forename: Patricio
authors.initials: P
authors.lastname: Palavecino
authors.forename: Luis
authors.initials: L
authors.lastname: Sepúlveda
authors.forename: Gladys
authors.initials: G
authors.lastname: Smok
authors.forename: Manuel
authors.initials: M
authors.lastname: Fernández
authors.forename: Javier
authors.initials: J
authors.lastname: Brahm
mesh_terms: D000368:Aged; D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000473:pathology; D008103:Liver Cirrhosis / Q000473:pathology*; D008113:Liver Neoplasms / Q000473:pathology*; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011379:Prognosis; D020246:Venous Thrombosis / Q000473:pathology*; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D000509:alpha-Fetoproteins