| Autor: |
Georgios Benetos, MD, Angeliki Vakka, MD, Eirini Solomou, MD, Vasiliki Katsi, MD, Konstantinos Tsioufis, MD, Konstantinos Toutouzas, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2025 |
| Předmět: |
|
| Zdroj: |
Radiology Case Reports, Vol 20, Iss 2, Pp 1273-1276 (2025) |
| Druh dokumentu: |
article |
| ISSN: |
1930-0433 |
| DOI: |
10.1016/j.radcr.2024.11.026 |
| Popis: |
This is a case report of a 54-year-old patient with hepatocellular cancer under palliative chemotherapy who admitted with dyspnea on minimal exertion and peripheral oedema over the past 5 days. Echocardiogram revealed a large echogenic mass in the right atrial cavity which did not enhance with intravenous echo contrast agent, and a distended inferior vena cava (IVC) which was occluded by echogenic material with no signs of flow. To distinguish with accuracy if the thrombus was a bland or tumor thrombus, contrast-enhanced Computed Tomography (CT) was performed. CT Pulmonary Angiography and abdominal contrast-enhanced CT showed a distended and occluded IVC by a mass that extended to the right atrium and enhanced with intravenous contrast agent, and thus the mass was considered as a tumor thrombus. Due to the impaired performance status and liver function of the patient, supportive treatment was preferred instead of a surgical or radiological intervention. Large tumor thrombus extending into the right atrium through the inferior vena cava due to hepatocellular carcinoma has a rare incidence and is associated with a poor prognosis. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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