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首页> 外文期刊>Journal of cardiac surgery. >Right atrial metastasis from hepatocellular carcinoma.
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Right atrial metastasis from hepatocellular carcinoma.

机译：肝细胞癌右房转移。

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A 65-year-old patient with a past medical history of hypertension, alcoholism, micronodular cirrhosis, and coronary artery bypass grafting 10 years ago developed a hepatocellular carcinoma, treated by chemoembolization. One month after treatment, thoracoabdominal CT scan showed no residual hepatic tumor, but tumoral aspect in the right atrium with extension into the inferior vena cava. The patient being asymptomatic, cardiac ultrasound confirmed the presence of a free, mobile, pediculated tumor in the right atrium. Surgical exploration found a well-circumscribed mass, attached to the atrial wall by a 1.5-cm diameter pedicle implanted near the inferior vena cava ostium, moving freely in the right atrial cavity. The tumor was easily resected by section of the pedicle and its surrounding parietal implantation zone. No complications occurred postoperatively, and the patient was discharged on the 10th postoperative day. Three years after, the patient is in good health and is asymptomatic; cardiac ultrasoundshowed no tumor recurrence.
机译：一名65岁的患者，其过去有高血压，酒精中毒，微结节性肝硬化和冠状动脉搭桥术的病史，十年前发生了肝细胞癌，并通过化学栓塞治疗。治疗后一个月，胸腹CT扫描未发现残留的肝肿瘤，而是右心房的肿瘤，并延伸至下腔静脉。该患者无症状，心脏超声证实右心房中存在游离，活动，带蒂的肿瘤。手术探查发现，肿物周围有一个界限清楚的肿块，该肿块被植入下腔静脉口附近的直径为1.5厘米的椎弓根附着在心房壁上，并在右心房中自由移动。蒂部分及其周围的顶壁植入区很容易切除肿瘤。术后无并发症发生，术后第10天出院。三年后，患者身体健康且无症状;心脏超声未见肿瘤复发。

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