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Atrial tumor thrombus

A rare complication of hepatocellular carcinoma

Leong, Kevin, PA-C; Kuppasani, Kishore, PA-C, MD; Pyrsopoulos, Nikoloas, MD

Journal of the American Academy of PAs: February 2019 - Volume 32 - Issue 2 - p 23–26
doi: 10.1097/01.JAA.0000552723.65316.80
Case Report

ABSTRACT Hepatocellular carcinoma is the fifth most common cancer worldwide. Advanced hepatocellular carcinoma with tumor thrombus metastasis to the right atrium is rare, generally considered inoperable, and has a poor prognosis. This article describes the management of two patients with hepatocellular carcinoma and incidental findings of tumor thrombus invasion into the right atrium.

At the time this article was written, Kevin Leong practiced hepatology and transplant medicine at University Hospital in Newark, N.J. He now practices cardiothoracic surgery at Newark Beth Israel Medical Center. At University Hospital, Kishore Kuppasani practices hepatology and transplant medicine and Nikoloas Pyrsopoulos is division director of gastroenterology and hepatology and medical director of liver transplantation. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Acknowledgments: The authors would like to thank Humaira Chaudry, MD, and Alfonso Waller, MD, for their assistance with this manuscript.

Copyright © 2019 American Academy of Physician Assistants
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