Small hepatocellular carcinoma with intravascular tumor growth into the right atrium

Noguchi, H; Hirai, Kenji; Itano, Satoshi; Ijuin, Hiroyasu; Kajiwara, Masahiko; Sakata, Kiyohiko; Ono, Noriyuki; Hidaka, Reiichiro; Aritaka, Tomoki; Arakawa, Masahiro

doi:10.1007/bf01229072

Cited by 17 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The effectiveness of liver resection for hepatocellular carcinoma (HCC) with hepatic vein tumor thrombus (HVTT) has been previously reported [ 1 ]. However, the prognosis of HCC with tumor thrombus (TT) in the inferior vena cava (IVC) or right atrium (RA) is extremely poor due to systemic metastasis and sudden death from pulmonary embolism or occlusion of the tricuspid valve [ 2 , 3 ]. Additionally, because of the rarity of HCC with TT in the IVC, optimal treatment strategies are not clear.…”

Section: Introductionmentioning

confidence: 99%

Right hepatectomy under cardiopulmonary bypass for hepatocellular carcinoma with inferior vena cava tumor thrombus: a case report

Kushiya,

Ambo,

Takada

et al. 2023

surg case rep

View full text Add to dashboard Cite

Background The prognosis of hepatocellular carcinoma (HCC) with vascular invasion is extremely poor, especially in patients with tumor thrombus (TT) of the inferior vena cava (IVC), which is an oncological emergency with a high risk of sudden death due to TT extension or migration. Herein, we describe a case of HCC with TT of the IVC that rapidly extended into the right atrium (RA), in which right hepatectomy was performed under cardiopulmonary bypass. Case presentation A 64-year-old man was diagnosed with HCC with IVC TT, and right hepatic lobectomy was scheduled. While awaiting surgery, he complained of respiratory distress and rushed to the emergency room. The TT had reached the RA, and the patient was in a state of oncologic emergency. We requested the cooperation of the cardiovascular surgery department, and under artificial cardiopulmonary support, the right atrium was incised, and a part of the TT was removed. The IVC was clamped to prevent tumor dispersal, and right hepatic lobectomy was performed. The remaining thrombus was excised along with the right lobe of the liver by incising the IVC. There were no serious postoperative complications, and the patient is alive 1 year and 5 months postoperatively. Conclusion Hepatic resection with cardiopulmonary bypass could be an option for HCC with TT reaching the RA.

show abstract

Section: Introductionmentioning

confidence: 99%

Right hepatectomy under cardiopulmonary bypass for hepatocellular carcinoma with inferior vena cava tumor thrombus: a case report

Kushiya,

Ambo,

Takada

et al. 2023

surg case rep

View full text Add to dashboard Cite

show abstract

“…Routes of spread include direct extension, invasion of the biliary system, and invasion of the hepatic vascular supply [1]. Intravascular growth most often involves the portal and hepatic veins; growth into splenic vein, esophageal varices, inferior vena cava, and right atrium has been described [1][2][3].…”

mentioning

confidence: 99%