CASE 286: HCC GOING TO HEART, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 46 yo, chronic hepatitis B, presented abdomen distension and dyspnea (photo).

Cardiac  ultrasound   showed  the  mass  intra  right  atrium  from  IVC (SEE  ECHO CARDIO 3D).

 ABDOMEN US FOUND OUT  LIVER TUMOR  WITH  BIG THROMBUS  INTRA IVC  EXTENSION TO RIGHT ATRIUM.

MSCT  WITH  CE   ALSO   DETECTED  THROMBUS  INTRA  CARDIAC  AND IVC.

BLOOD TESTS:   HBV POSITIVE  AND  AFP  1500 UI/ML.

CONCLUSION...HCC  FROM  THE  LIVER  GOES TO IVC  UP TO  RIGHT ATRIUM.

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