title: A large Right atrial mass in a patient with hepatocellular carcinoma: Case report and literature review.
abstract: BACKGROUND
  Hepatocellular carcinoma (HCC) is a common malignancy and the most frequent sites of metastasis include lungs, bone, lymphatic, and brain, however, Intra-cardiac involvement rarely develops in patients with HCC and it has poor prognosis. The clinical course may be complicated by many fatal cardiovascular complications. Absence of cardiac symptoms, however, is an unusual condition.
  
  
  METHODS
  We reported a rare case of hepatocellular carcinoma with large invasion into the right atrium and no cardiac symptoms.
  
  
  CONCLUSIONS
  Cardiac metastases occur in 10% of all cancer patients. Heart involvement should be suspected in all patients.
authors: King Fahad Cardiac Center, King Khalid University Hospital College of Medicine, King Saud University.
authors: Hanan B
authors: HB
authors: Albackr
keywords: Carcinoma; Heart atria; Heart neoplasms; Hepatocellular; Secondary; Vena cava and inferior