Highlights the possibility of asymptomatic cardiac metastasis in patients with hepatocellular carcinoma, emphasizing the need for clinical suspicion.
Asymptomatic right atrial invasion by hepatocellular carcinoma may occur; supports clinical suspicion but leaves screening and management implications open.
BACKGROUND: Hepatocellular carcinoma (HCC) is a common malignancy and the most frequent sites of metastasis include lungs, bone, lymphatic, and brain, however, Intra-cardiac involvement rarely develops in patients with HCC and it has poor prognosis. The clinical course may be complicated by many fatal cardiovascular complications. Absence of cardiac symptoms, however, is an unusual condition. CASE REPORT: We reported a rare case of hepatocellular carcinoma with large invasion into the right atrium and no cardiac symptoms. CONCLUSION: Cardiac metastases occur in 10% of all cancer patients. Heart involvement should be suspected in all patients.
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Hanan Albackr (2014) studied this question.
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