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Case Rep Vasc Med. 2013;2013:489373. doi: 10.1155/2013/489373. Epub 2013 Apr 11.

Advanced hepatocellular carcinoma with subtotal occlusion of the inferior vena cava and a right atrial mass.

Case reports in vascular medicine

Christian Steinberg, Suzanne Boudreau, Felix Leveille, Marc Lamothe, Patrick Chagnon, Isabelle Boulais

Affiliations

  1. Department of Cardiology, Quebec Heart and Lung Institute, Laval University, 2725 Chemin Sainte-Foy, Quebec, QC, Canada G1V 4G5.

PMID: 23662245 PMCID: PMC3639686 DOI: 10.1155/2013/489373

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.

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