Cardiac metastasis of hepatocellular carcinoma in a young non-cirrhotic patient, to the left ventricle

TAŞTEKİN E., USTA U., EGE T., KAZINDIR G., KUTLU A. K.

Annals of Hepatology, cilt.11, sa.3, ss.392-394, 2012 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 3
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1016/s1665-2681(19)30936-6
  • Dergi Adı: Annals of Hepatology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.392-394
  • Anahtar Kelimeler: Cardiac tumors, Hepatocellular carcinoma, Left ventricle metastasis, Metastasis
  • Trakya Üniversitesi Adresli: Evet

Özet

Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver.1,2 The most common extrahepatic metastatic sites are lung, abdominal lymph nodes and bone, while its cardiac metastasis is rare.2,3 Metastasis of HCC into the cardiac cavity is mostly caused by direct tumor invasion of vena cava inferior with continuous extension into the right cardiac cavity.4,5 Right heart metastasis without invasion of inferior vena cava, which may be caused by hematogenous spread of cancer cells, is rarely reported.6,7 This paper announces an unusual case of isolated involvement of left ventricle (LV) together with myocardial invasion of HCC. Our patient is known to be the first case with isolated HCC metastasis to the left ventricle. Strikingly, the patient was young and non-cirrhotic with negative serum HBsAg, and anti-HCV results.