Key result
Cardiac tumorectomy followed by transcatheter arterial chemoembolization and radiofrequency ablation resulted in complete recovery and a long-term survival of 36 months in a patient with hepatocellular carcinoma and isolated right atrial metastases.
Case Report (n=1)
Tumorectomy for solitary right atrial metastasis can be an effective and life-prolonging strategy for select patients with hepatocellular carcinoma.
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Resection may avert heart failure or sudden death in select HCC cases with isolated right atrial metastasis; leaves open prospective evaluation of surgical selection and outcomes.
Hepatocellular carcinoma (HCC) with isolated right atrial metastasis is extremely rare; most cases are considered inoperable. We herein report the case of a 74-year-old man with HCC with isolated right atrial metastases without hepatic vein invasion; the right atrial lesion was resected because of the risk of heart failure and sudden death. Postoperatively, he underwent transcatheter arterial chemoembolization and radiofrequency ablation for intrahepatic HCC. He recovered completely, with a long-term survival of 36 months. This is the first report of an HCC patient with isolated right atrial metastases without hepatic vein invasion. Tumorectomy for solitary atrial metastasis is effective for HCC patients.
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Takaya et al. (2017) conducted a case report in Hepatocellular carcinoma with isolated right atrial metastases (n=1). Cardiac tumorectomy, TACE, and RFA was evaluated on Survival. Cardiac tumorectomy followed by transcatheter arterial chemoembolization and radiofrequency ablation resulted in complete recovery and a long-term survival of 36 months in a patient with hepatocellular carcinoma and isolated right atrial metastases.
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