Yeungnam Univ J Med.  1999 Jun;16(1):119-124. 10.12701/yujm.1999.16.1.119.

A Case of Right Atrial Mass Associated With Hepatocellular Carcinoma

• Park CW
• Choi JS
• Kwon SU
• Song YD
• Kim JH
• Lee HJ

• KMID: 1969410
• DOI: http://doi.org/10.12701/yujm.1999.16.1.119

Abstract

Right atrial metastasis occurs in 1 to 4% of patients with hepatoma. and the extention to intracavitary or metastasis of tumor as a large mass rare. However, the high risk of progressive heart failure and sudden death from the tricuspid valve obstruction necessitates prompt diagnosis of intracavitary extension, and adequate intervention is needed to prolong a patient's life. A 49 year-old female was referred to our hospital for further evaluation of a liver mass, which was identified at a local clinic. The liver mass was confirmed as hepatocellular carcinoma with CT and celiac angiographic finding. She was treated with transarterial chemoembolization. Thirty-four months after discharge, a low density right atrial mass was noted incidentally with chest computed tomography while investigating massive right pleural effusion for possible pulmonary metastasis. Echocardiography showed a huge inhomogenous echogenic mass at the right atrium. The present report describes a case of primary hepatocellular carcinoma with a intracavitary cardiac mass detected with two dimensional echocardiography.

Keyword

Right atrial mass; Hepatocellular carcinoma

MeSH Terms

Carcinoma, Hepatocellular*
Death, Sudden
Diagnosis
Echocardiography
Female
Heart Atria
Heart Failure
Humans
Liver
Middle Aged
Neoplasm Metastasis
Pleural Effusion
Thorax
Tricuspid Valve