Transthoracic Echocardiography Revealed Inferior Vena Cava and Right Atrial Occupation:Report of One Case.
10.3881/j.issn.1000-503X.15515
- Author:
Su-Qiao ZHANG
1
;
Yong-Mei ZHANG
1
;
Jie LIN
2
;
Yu-Qing ZHU
1
Author Information
1. International Medical Department of General Medicine, China-Japan Friendship Hospital,Beijing 100029,China.
2. Department of Pathology, China-Japan Friendship Hospital,Beijing 100029,China.
- Publication Type:Journal Article
- Keywords:
alpha fetoprotein;
inferior vena cava tumor thrombus;
liver cancer;
right atrial tumor thrombus
- MeSH:
Humans;
Vena Cava, Inferior/pathology*;
alpha-Fetoproteins;
Echocardiography;
Heart Atria/pathology*;
Liver Neoplasms/pathology*
- From:
Acta Academiae Medicinae Sinicae
2023;45(6):1011-1014
- CountryChina
- Language:Chinese
-
Abstract:
One case with ascites and lower limb edema as the initial manifestations was reported.The echocardiography revealed inferior vena cava and right atrial occupation,which combined with increased alpha fetoprotein and imaging examination,suggested liver malignant tumor combined with tumor thrombus of inferior vena cava and right atrium.After targeted therapy combined with immunotherapy,the tumor shrank and alpha fetoprotein decreased significantly,suggesting that the treatment was effective.The median survival time of the patient was 3 months.This patient had a clear history of cirrhosis due to hepatitis B and was clinically diagnosed with advanced liver cancer,which suggested the importance of early liver cancer screening.