Two cases of hepatocellular carcinoma with tumor growth in thc right atrium dbmonstrated by selective celiac arteriography and ultrasoundcardiography

Abstract

Two cases of hepatocellular carcinoma with tumor growth in the inferior vena cava as far as in the right atrium were presented.
Selective celiac and hepatic arteriography demonstrated so-called"thread and streaks" sign and its equivalent from the hepatic vein to the right atrium running through the inferior Vena CaVa.
Inferior vena cavography and ultrasoundcardiography were also demonstrated the tumor growth in the right atrium in one casc.
Autopsy findings confirmed the diagnosis. In case 2, coagulofibrinolytic examination revealed consumption of coagulation factors (fibrinogen, platelets) and increased level of serum FDP.