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  • Title: Hepatocellular carcinoma with tumoral extension to the inferior vena cava and right atrium.
    Author: Garza-Ledezma MA, Mariño-Velasco S, García-Leal M, Jáquez-Quintana JO, Maldonado-Garza HJ.
    Journal: Rev Esp Enferm Dig; 2024 Oct; 116(10):583-584. PubMed ID: 38235726.
    Abstract:
    This case report describes an 81-year-old male with Child-Pugh B chronic liver disease presenting with dyspnea and atypical precordial pain. Evaluation revealed a third-degree atrioventricular block, necessitating temporary pacemaker placement. Portable cardiac ultrasound identified an intracavitary mass in the right atrium. A triphasic abdominal CT scan unveiled a solid lesion in hepatic segments VII and VIII, displaying arterial phase enhancement and late-phase washout. The neoplastic lesion, measuring 9.3 x 8.3 cm, exhibited lobulated, poorly defined borders, with extension into the right suprahepatic vein, inferior vena cava, and right atrium.
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