Zeki Mesut Yalın KILIÇ, Işılay NADİR, Yasemin Özderin ÖZİN, Şennur BÜYÜKAŞIK, Nurgül ŞAŞMAZ

Kardiyak invazyon gösteren hepatosellüler karsinom: Olgu sunumu

Hepatosellüler karsinom (HSK) karaciğerin en sık görülen primer malign tümörüdür. Tedavi uygulanmayan hastalarda ortalama sağ kalım 9 ay olup, prognozu oldukça kötüdür. HSK olgularının %71'inde karaciğer içinde tümör progresyonu, %21'inde makrovasküler invazyon, %9'unda da karaciğer dışına yayılımın meydana geldiği bildirilmektedir. Bu çalışmada vena cava inferior ve kardiak invazyon yapmış olan HSK olgusu sunuldu.

Cardiac invasion of hepatocelluler carcinoma: A case report

Hepatocellular carcinoma (HCC) is the most frequent primary malignant neoplasm of the liver. Prognosis is very dismal, with a median survival of 9 months. The frequencies of intrahepatic, macrovascular and extrahepatic invasions of HCC are 71%, 21% and 9%, respectively. A HCC patient with vena cava inferior and cardiac invasions is presented in this article.

PDF

___

1. Taoli B, Losada M, Holland A, Krinsky G. Magnetic resonance imaging of hepatocellülar Carcinoma. Gastroenterology 2004; 127: 144-52.
2. Llovet JM, Beaugrand M. Hepatocellular carcinoma: present status and future prospects. J Hepatology 2003; 38: 136-49
3. El Serag HB, Mason AC. Rising incidence of hepatocellular carcinoma in the United States. New Engl J Med 1999; 340: 745-50.
4. Uzunalimoğlu O, Yurdaydın C, Çetinkaya H, Ökten A. Risk factors for hepatocellular carcinoma in Turkey. Dig Dis Sci 2001; 46: 1022-8.
5. Sugano S, Miyoshi K, Suziki T, Kawafune Y, Kubota M. Intrahepatic arteriovenous shunting due to the hepatocellular carcinoma and cirrhosis. And its change by transcatheter arterial embolization. Am J Gastroenterol 1994; 89: 184-8.
6. Bruix J, Sherman M. Management of hepatocellular carcinoma. Hepatology 2005; 42:1208-36.
7. Carnero Fernandez M, Morano Amado LE, Bodenlle Bello P, Calvo Iglesias F. Massive venous thrombosis with cardiac invasion as primary manifestation of hepatocarcinoma. An Med Interna 2003; 20:537-9.
8. Kojiro M, Nakahara H, Sugihara S, et al. Hepatocellular carcinoma with intra-atrial tumor growth. A clinicopathologic study of 18 autopsy cases. Arch Pathol Lab Med 1984; 108: 989-92.