A Patient with Hepatocellular Carcinoma with Isolated Right Atrial Metastases

Hiroaki Takaya; Hideto Kawaratani; Kenichiro Seki; Yasushi Okura; Mitsuteru Kitade; Tadashi Namisaki; Masayoshi Sawai; Yasuhiko Sawada; Takuya Kubo; Akira Mitoro; Junichi Yamao; Hitoshi Yoshiji

doi:10.2169/internalmedicine.8568-16

CASE REPORTS

A Patient with Hepatocellular Carcinoma with Isolated Right Atrial Metastases

Hiroaki Takaya, Hideto Kawaratani, Kenichiro Seki, Yasushi Okura, Mitsuteru Kitade, Tadashi Namisaki, Masayoshi Sawai, Yasuhiko Sawada, Takuya Kubo, Akira Mitoro, Junichi Yamao, Hitoshi Yoshiji

Author information

Hiroaki Takaya
Third Department of Internal Medicine, Nara Medical University, Japan
Hideto Kawaratani
Third Department of Internal Medicine, Nara Medical University, Japan
Kenichiro Seki
Third Department of Internal Medicine, Nara Medical University, Japan
Yasushi Okura
Department of Endoscopy, Nara Medical University, Japan
Mitsuteru Kitade
Third Department of Internal Medicine, Nara Medical University, Japan
Tadashi Namisaki
Third Department of Internal Medicine, Nara Medical University, Japan
Masayoshi Sawai
Third Department of Internal Medicine, Nara Medical University, Japan
Yasuhiko Sawada
Third Department of Internal Medicine, Nara Medical University, Japan
Takuya Kubo
Third Department of Internal Medicine, Nara Medical University, Japan
Akira Mitoro
Third Department of Internal Medicine, Nara Medical University, Japan
Junichi Yamao
Department of Endoscopy, Nara Medical University, Japan
Hitoshi Yoshiji
Third Department of Internal Medicine, Nara Medical University, Japan

Keywords: hepatocellular carcinoma, right atrial metastases, transcatheter arterial chemoembolization, radiofrequency ablation, chronic hepatitis type C

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 19 Pages 2589-2594

DOI https://doi.org/10.2169/internalmedicine.8568-16

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Abstract

Hepatocellular carcinoma (HCC) with isolated right atrial metastasis is extremely rare; most cases are considered inoperable. We herein report the case of a 74-year-old man with HCC with isolated right atrial metastases without hepatic vein invasion; the right atrial lesion was resected because of the risk of heart failure and sudden death. Postoperatively, he underwent transcatheter arterial chemoembolization and radiofrequency ablation for intrahepatic HCC. He recovered completely, with a long-term survival of 36 months. This is the first report of an HCC patient with isolated right atrial metastases without hepatic vein invasion. Tumorectomy for solitary atrial metastasis is effective for HCC patients.

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