Faculty Collaboration Database

Consideration of Management Techniques for Advanced Hepatocellular Carcinoma With Metastasis to the Right Atrium: A Case Report. Cureus 2022 Apr;14(4):e24614

Date

06/07/2022

Pubmed ID

35664408

Pubmed Central ID

PMC9150144

DOI

10.7759/cureus.24614

Abstract

Hepatocellular carcinoma (HCC) is a common form of cancer and the most common form of liver cancer. Multiple etiological factors leading to HCC include hepatitis B and C, diabetes, alcoholic fatty liver disease, and non-alcoholic fatty liver disease. Hepatocellular carcinoma in the late stages may present with tumor burden and thrombi that can extend into the right atrium (RA). This late-stage form of HCC has a poor prognosis. In this case, we present a 63-year-old male who presented to the hospital with acute encephalopathy with bilateral pulmonary emboli and a thrombus secondary to HCC extending into the RA. Clinical trials for non-surgical interventions are ongoing and are needed to treat patients with tumor burden who may be at bleeding risk from tumor resection.

Author List

Warren BC, Yadav H, Campbell N, Colby S, Youngblood L

Author

Brandon C. Warren MD Assistant Professor in the Medicine department at Medical College of Wisconsin