Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report
Alfa-fetoproteïna; Carcinoma hepatocel·lular; Trombe tumoral
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/6524 |
| Acceso en línea: | https://hdl.handle.net/11351/6524 |
| Access Level: | acceso abierto |
| Palabra clave: | Fetge - Càncer - Prognosi DISEASES::Neoplasms::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Liver Neoplasms::Carcinoma, Hepatocellular ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::neoplasias::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias hepáticas::carcinoma hepatocelular TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
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Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case reportMirallas Viñas, OriolVidal Gonzalez, JuditVargas Blasco, Victor ManuelGomez-Puerto, DiegoFetge - Càncer - PrognosiDISEASES::Neoplasms::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Liver Neoplasms::Carcinoma, HepatocellularANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::PrognosisENFERMEDADES::neoplasias::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias hepáticas::carcinoma hepatocelularTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronósticoAlfa-fetoproteïna; Carcinoma hepatocel·lular; Trombe tumoralAlfafetoproteína; Carcinoma hepatocelular; Trombo tumoralAlpha-fetoprotein; Hepatocellular carcinoma; Tumor thrombusBACKGROUND Hepatocellular carcinoma (HCC) is the most important primary malignant liver disease. A large proportion of patients with advanced HCC have macrovascular invasion. HCC tends to infiltrate vascular structures, particularly the portal vein and its branches, and more rarely, the hepatic veins. The intravascular tumor thrombus can affect the inferior vena cava (IVC) or even the right atrium (RA), the latter having a poor prognosis. CASE SUMMARY HCC is one of the most aggressive malignant tumors. Tumor thrombus (TT) formation in advanced HCC stages is common and usually involves the hepatic or portal veins. Herein, we report a 69-year-old woman who presented with dyspnea to the emergency department. A ventilation/perfusion lung scan was performed, ruling out pulmonary embolism. Hepatopulmonary syndrome and portopulmonary hypertension were discarded with contrasted echocardiography, but a mass in the RA was detected and confirmed by cardiac magnetic resonance imaging. Abdominal computed tomography showed a liver mass with a dynamic enhancement pattern compatible with HCC and an intraluminal IVC mass extending from the hepatic vein into the RA. HCC with TT expansion to IVC and RA is rare and indicates poor prognosis. CONCLUSION HCC with TT expansion to IVC and RA is rare and indicates poor prognosis. There is no consensus about anticoagulation or other interventions in these patients. Gomez-Puerto D, Mirallas O, Vidal-González J, Vargas V. Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: A case report. World J Hepatol 2020; 12(11): 1128-1135 [PMID: 33312435 DOI: 10.4254/wjh.v12.i11.1128]Baishideng Publishing GroupInstitut Català de la Salut[Gomez-Puerto D, Mirallas O] Servei d’Oncologia Mèdica, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Vidal-González J] Servei d’Hepatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBERehd, Barcelona, Spain. [Vargas V] Servei d’Hepatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBERehd, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202120212020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/6524Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésWorld Journal of Hepatology;12(11)https://doi.org/10.4254/wjh.v12.i11.1128Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/65242026-06-12T09:38:37Z |
| dc.title.none.fl_str_mv |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| title |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| spellingShingle |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report Mirallas Viñas, Oriol Fetge - Càncer - Prognosi DISEASES::Neoplasms::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Liver Neoplasms::Carcinoma, Hepatocellular ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::neoplasias::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias hepáticas::carcinoma hepatocelular TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| title_short |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| title_full |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| title_fullStr |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| title_full_unstemmed |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| title_sort |
Hepatocellular carcinoma with tumor thrombus extends to the right atrium and portal vein: a case report |
| dc.creator.none.fl_str_mv |
Mirallas Viñas, Oriol Vidal Gonzalez, Judit Vargas Blasco, Victor Manuel Gomez-Puerto, Diego |
| author |
Mirallas Viñas, Oriol |
| author_facet |
Mirallas Viñas, Oriol Vidal Gonzalez, Judit Vargas Blasco, Victor Manuel Gomez-Puerto, Diego |
| author_role |
author |
| author2 |
Vidal Gonzalez, Judit Vargas Blasco, Victor Manuel Gomez-Puerto, Diego |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Gomez-Puerto D, Mirallas O] Servei d’Oncologia Mèdica, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Vidal-González J] Servei d’Hepatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBERehd, Barcelona, Spain. [Vargas V] Servei d’Hepatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBERehd, Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Fetge - Càncer - Prognosi DISEASES::Neoplasms::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Liver Neoplasms::Carcinoma, Hepatocellular ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::neoplasias::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias hepáticas::carcinoma hepatocelular TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| topic |
Fetge - Càncer - Prognosi DISEASES::Neoplasms::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Liver Neoplasms::Carcinoma, Hepatocellular ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis ENFERMEDADES::neoplasias::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias hepáticas::carcinoma hepatocelular TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico |
| description |
Alfa-fetoproteïna; Carcinoma hepatocel·lular; Trombe tumoral |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2021 2021 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/6524 |
| url |
https://hdl.handle.net/11351/6524 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
World Journal of Hepatology;12(11) https://doi.org/10.4254/wjh.v12.i11.1128 |
| dc.rights.none.fl_str_mv |
Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ |
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openAccess |
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application/pdf |
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Baishideng Publishing Group |
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Baishideng Publishing Group |
| dc.source.none.fl_str_mv |
Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
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Departament de Salut de la Generalitat de Catalunya (DS) |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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1869406482744737792 |
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15.812455 |