Key result
Transthoracic echocardiography reveals a cavoatrial mass infiltrating the inferior vena cava in hepatocellular carcinoma.
Why the study?
Differentiating the origin of a mass in right cardiac cavities infiltrating the inferior vena cava is clinically challenging.
Case Report (n=1)
Myocardial contrast echocardiography may assist in the differential diagnosis of right cardiac cavity masses, such as distinguishing between tumor infiltration and thrombus.
Echocardiography may detect cavoatrial extension in HCC; leaves open validation of diagnostic criteria in prospective series.
We report the case of a patient with hepatocellular carcinoma who was admitted to our hospital with fatigue and edema of lower extremities. Transthoracic echocardiographic examination revealed a mobile echogenic cavoatrial mass that infiltrated the inferior vena cava and extended along the vessel protruding into the right cardiac cavities. The differential diagnosis included a tumor mass originating from the liver and subsequently infiltrating the inferior vena cava and extending into the right cardiac cavities or a large thrombus formed on the tumor mass that infiltrated the inferior vena cava.
No takes yet. Share an insight, caveat, or question.
Rallidis et al. (2008) conducted a case report in Hepatocellular carcinoma with a cavoatrial mass (n=1). Myocardial Contrast Echocardiography was evaluated on Differential diagnosis of a cavoatrial mass. Transthoracic echocardiography revealed a mobile echogenic cavoatrial mass infiltrating the inferior vena cava in a patient with hepatocellular carcinoma, requiring differential diagnosis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: