title: Advanced hepatocellular carcinoma with subtotal occlusion of the inferior vena cava and a right atrial mass.
abstract: Hepatocellular carcinoma usually metastasizes to regional lymph nodes, lung, and bones but can rarely invade the inferior vena cava with intravascular extension to the right atrium. We present the case of a 75-year-old man who was admitted for generalized oedema and was found to have advanced HCC with invasion of the inferior vena cava and endovascular extension to the right atrium. In contrast to the great majority of hepatocellular carcinoma, which usually develops on the basis of liver cirrhosis due to identifiable risk factors, none of those factors were present in our patient.
authors: Department of Cardiology, Quebec Heart and Lung Institute, Laval University, 2725 Chemin Sainte-Foy, Quebec, QC, Canada G1V 4G5.
authors: Christian
authors: C
authors: Steinberg
authors: Suzanne
authors: S
authors: Boudreau
authors: Felix
authors: F
authors: Leveille
authors: Marc
authors: M
authors: Lamothe
authors: Patrick
authors: P
authors: Chagnon
authors: Isabelle
authors: I
authors: Boulais
references: World J Gastroenterol. 2008 Nov 14;14(42):6437-41
references: 19030192
references: J Gastroenterol Hepatol. 1999 Sep;14(9):922-7
references: 10535476
references: Cancer. 1954 May;7(3):462-503
references: 13160935
references: Korean J Intern Med. 2006 Dec;21(4):225-9
references: 17249503
references: Am J Cardiol. 2008 Sep 1;102(5):643-5
references: 18721529
references: J Gastroenterol Hepatol. 1997 Oct;12(9-10):S294-308
references: 9407350
references: J Gastroenterol. 2009;44 Suppl 19:96-101
references: 19148801
references: Zhonghua Yi Xue Za Zhi (Taipei). 2002 Jul;65(7):345-7
references: 12365654
references: Expert Rev Gastroenterol Hepatol. 2009 Aug;3(4):353-67
references: 19673623
references: Hepatogastroenterology. 1994 Apr;41(2):154-7
references: 8056404
references: N Engl J Med. 2008 Jul 24;359(4):378-90
references: 18650514
references: Am J Gastroenterol. 2008 Aug;103(8):2136-41; quiz 2142
references: 18796107
references: World J Gastroenterol. 2008 Jul 21;14(27):4300-8
references: 18666317
references: Ann Intern Med. 1983 Oct;99(4):472-4
references: 6312861
references: Eur J Gastroenterol Hepatol. 2008 Oct;20(10):1012-9
references: 18787470
references: Chest. 1989 Aug;96(2):434-6
references: 2546719
references: Forensic Sci Int. 2000 Feb 28;108(3):215-21
references: 10737468
references: Cancer Lett. 2009 Dec 1;286(1):38-43
references: 19081672
references: World J Gastroenterol. 2009 Jan 14;15(2):231-9
references: 19132775
references: Oncology. 2004;67(3-4):320-6
references: 15557794
references: Oncology. 2007;72 Suppl 1:67-71
references: 18087184
references: Hepatogastroenterology. 2001 May-Jun;48(39):836-9
references: 11462935