Metastasis in the chest wall and in the right ventricle from hepatocellular carcinoma. Description of a clinical case.
The ante mortem diagnosis of right ventricular metastasis from hepatocellular carcinoma (HCC) is quite rare. Also the metastatic invasion of the chest wall following a liver biopsy is seldom reported. We describe a 67 year old patient that, 30 months after a liver biopsy showing HCC, developed an isolated metastasis of the chest in the site of the biopsy which was treated by radiotherapy. The same patient, after 8 months, complained of dyspnea on effort and ECG showed signs of ischemia: echocardiogram, CT scan and MRI revealed the presence of a metastatic mass in the right ventricular cavity. Post mortem examination confirmed the diagnosis.
Second Division of Internal Medicine, Hepatology Service, General Hospital Istituti Ospitalieri, Cremona--Italy.
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A
Marelli
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L
Nardecchia
G
G
Rozzi
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E
Betri
P
P
Bodini