A hepatocellular carcinoma in the heart with no other primary. Can be? Case report & review of literature

Figures

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  Fig. 1. Four chamber view of the heart showing a large lobulated hypo vascular, mass like structure (blue arrows) occupying the right atrium (RA) with possible extension to the IVC and passing through the tricuspid valve with no valvular compromise. (LA, left atrium), (interatrial septum- yellow arrow)

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  Fig. 2. Cardiac MRI images showing a fairly well-defined iso- to hypointense lobulated mass abutting the anteromedial wall of the supra-hepatic inferior vena cava (IVC) with a right atrial (RA) component.(a) Coronal image demonstrating the lobulated mass adjacent to the supra-hepatic IVC (white arrow).(b) Coronal image showing the extension of the mass toward the right atrium (red arrow).(c) Short-axis image highlighting the subdiaphragmatic component of the lesion (yellow arrow).(d) Additional short-axis frame confirming absence of obvious intraluminal IVC extension.The mass measures approximately 3 × 5 cm, with the subdiaphragmatic component measuring approximately 2.5 cm

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  Fig. 3. FDG PET CT, showing moderate tracer uptake in right atrial mass

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  Fig. 4. Coronary angiography showing the atrial mass supplied by the left circumflex artery (LCX)

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  Fig. 5. (a) Immediate postoperative axial CT showing a partially resected residual left atrial mass (white arrow).(b) Axial CT at 7-month follow-up after chemotherapy and radiotherapy demonstrating marked regression of the residual lesion (white arrow)

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  Fig. 6. Axial CT images of the chest demonstrating postoperative evolution of the left atrial lesion.(a) Immediate postoperative axial CT image showing a partially resected residual iso- to hypodense lobulated mass within the left atrium (LA) (white arrow).(b) Follow-up image obtained 7 months after completion of chemotherapy and radiotherapy, demonstrating significant regression in the size of the previously seen residual left atrial mass (white arrow)