Isolated right ventricular intracavitary metastasis of hepatocellular carcinoma in a 74-year-old woman.
A 74-year-old woman with a history of chronic hepatitis C and transcatheter arterial chemoembolization for an unresectable hepatocellular carcinoma (HCC) 2 years previously presented with progressive exertional dyspnea of 1 month's duration. Two-dimensional echocardiography revealed a huge right ventricular mass with right atrial and right ventricular outflow tract extension. Palliative resection of the tumor and adjunctive chemotherapy was performed. However, the right ventricular mass recurred 1 month later and the patient died 4 months after the operation. To our knowledge, this is the oldest patient reported with isolated right ventricular intracavitary metastasis of HCC, and this report reemphasizes the lower surgical indication in patients with metastatic cardiac tumors.
Division of Cardiovascular Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chia-Yi, Taiwan, ROC. chungbenkan@yahoo.com.tw
Chung-Ben
CB
Kan
Rei-Yeuh
RY
Chang
Cheng-Kang
CK
Chen
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D005260:Female; D006338:Heart Neoplasms / Q000556:secondary* / Q000628:therapy; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*