Right sided heart mass reveals hepatocellular carcinoma
| Autor: | Stefano Salizzoni, Mauro Giorgi, Mauro Rinaldi, Francesca Molino, Paolo Centofanti, Cristina Barbero, Paola Campisi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
Niacinamide Pulmonary and Respiratory Medicine Oncology medicine.medical_specialty Carcinoma Hepatocellular medicine.medical_treatment Antineoplastic Agents Inferior vena cava Internal medicine Carcinoma Humans Medicine Chemoembolization Therapeutic Aged business.industry Phenylurea Compounds Liver Neoplasms Thrombosis Sorafenib Neoplastic Cells Circulating medicine.disease Inguinal hernia medicine.anatomical_structure medicine.vein Ventricle Median sternotomy Hepatocellular carcinoma cardiovascular system Radiology Ankle Cardiology and Cardiovascular Medicine business |
| Popis: | © S Z ency department because of inguinal pain. After manual eduction of the long-standing inguinal hernia, ankle dema, thrombocytopenia and elevated liver enzymes ere noticed. Abdominal echography discovered a mass nto the inferior vena cava and the subsequent transthoacic echocardiographic study showed a huge right atrial ass (95 mm × 42 mm) extending in the right ventricle, bstructing the tricuspid valve orifice, with caudal extenion into the inferior vena cava (Fig. 1A). Urgent surgical excision of the cardiac mass was perormed through a standard median sternotomy and via a tochemistry confirms hepatic origin of the mass staining tumoral cells with Hepatocyte Antigen (DAKO, OCH1E5) (Fig. 1C). Moreover the CT-scan confirmed the presence of an under-dome liver lesion of 40 mm with hypervascular shell and cystic core (Fig. 1D). Diagnosis of HCC was made and transarterial chemoembolization was scheduled three months after surgery. A second liver chemoembolisation was necessary eight months after surgery and oral chemotherapy with Sorafenib-Tosilato was started. After 19 months follow-up, he leads a normal life without cardiac reoccurrence. |
| Databáze: | OpenAIRE |
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