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Journal of Case Reports
Transvascular Growth of Hepatocellular Carcinoma
AR Muneer1, S Biji2, OS Suman1, KJ Peter1, G Vijayaraghavan1, D Leena3 
Departments of 1Cardiology and 3Pathology, Kerala Institute of Medical Sciences, Trivandrum, Kerala; 2Department of Cardiology, SUT Royal Hospital, Trivandrum, Kerala, India.
Corresponding Author:
Dr. Abdul Rahaman Muneer
Email: dr.reenum@yahoo.com
Received: 24-JAN-2017 Accepted: 21-MAR-2017 Published Online: 10-APR-2017
DOI: http://dx.doi.org/10.17659/01.2017.0038
Abstract
Background: Cardiac tumors may be primary (benign or malignant) or metastatic (malignant). They can cause inflow-outflow tract obstruction, thromboembolism, arrhythmias, or pericardial disorders. Case Report: A 30 year old male presented with cough and dyspnea of one month duration. Routine echocardiography revealed a large tumor mass filling the entire right atrium. Computed tomography delineated tumor arising from the left lobe of the liver and entering through the inferior vena cava (IVC) to right atrium. Ultrasound guided biopsy demonstrated hepatocellular carcinoma. The patient initially improved with oral sorafenib (receptor tyrosine kinase inhibitor) and then succumbed to his primary illness after six months. Conclusion: We report here transvascular growth of hepatocellular carcinoma through IVC to right atrium, a rare phenomenon. 
Keywords : Echocardiography, Heart Neoplasms, Liver Neoplasms, Thromboembolism, Vena Cava.
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