[Hepatocellular carcinoma with cardiovascular invasion. Report of five cases].
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.
Valera
José M
JM
Sección de Gastroenterología, Hospital Clínico Universidad de Chile, Santiago.
Merino
Roberto
R
Palavecino
Patricio
P
Sepúlveda
Luis
L
Smok
Gladys
G
Fernández
Manuel
M
Brahm
Javier
J
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
D000509:alpha-Fetoproteins