A Patient with Hepatocellular Carcinoma with Isolated Right Atrial Metastases
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- Takaya Hiroaki
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Kawaratani Hideto
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Seki Kenichiro
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Okura Yasushi
- Department of Endoscopy, Nara Medical University, Japan
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- Kitade Mitsuteru
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Namisaki Tadashi
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Sawai Masayoshi
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Sawada Yasuhiko
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Kubo Takuya
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Mitoro Akira
- Third Department of Internal Medicine, Nara Medical University, Japan
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- Yamao Junichi
- Department of Endoscopy, Nara Medical University, Japan
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- Yoshiji Hitoshi
- Third Department of Internal Medicine, Nara Medical University, Japan
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抄録
<p>Hepatocellular carcinoma (HCC) with isolated right atrial metastasis is extremely rare; most cases are considered inoperable. We herein report the case of a 74-year-old man with HCC with isolated right atrial metastases without hepatic vein invasion; the right atrial lesion was resected because of the risk of heart failure and sudden death. Postoperatively, he underwent transcatheter arterial chemoembolization and radiofrequency ablation for intrahepatic HCC. He recovered completely, with a long-term survival of 36 months. This is the first report of an HCC patient with isolated right atrial metastases without hepatic vein invasion. Tumorectomy for solitary atrial metastasis is effective for HCC patients. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (19), 2589-2594, 2017
一般社団法人 日本内科学会