Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium

Yoshihiro Yokoi, Takashi Hachiya, Kiyotaka Kurachi, Kazuya Okamoto, Yasuo Tsuchiya, Takuya Okumara, Shohachi Suzuki, Hiroyuki Konno, Satoshi Nakamura

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Hepatocellular carcinoma (HCC) extending into the right atrium has generally been considered to represent the terminal stage of the disease. Importantly, this condition also poses the risk of sudden death caused by pulmonary embolism and right heart failure. Surgical removal of the intra-cardiac tumor thrombus appears to be a promising approach to prevent such a disaster. A 54-year-old man underwent extended left hepatectomy with removal of a right atrial tumor thrombus under extracorporeal circulation. The patient had an uneventful postoperative course and is alive, but with bone metastases and intrahepatic recurrence, 12 months after the opearation. We reviewed 18 Japanese cases who underwent surgical removal of right atrial HCC thrombi. All the cases had an uneventful postoperative course, and their mean survival was 11 months (range; 29 days to<gt>4 years) after the operation. Three cases in which total resection of the tumor including the primary HCC are performed, remained alive for more than 2 years after the operation. Thus, surgical removal of an intracardiac tumor thrombus is a feasible and safe procedure. Although HCCs with intra-atrial tumor thrombi seem to be at a far advanced stage, total resection of the tumor including the primary HCC is of primary importance to achieve a favorable outcome.

Original languageEnglish
Pages (from-to)1507-1511
Number of pages5
JournalJapanese Journal of Gastroenterological Surgery
Volume33
Issue number8
Publication statusPublished - 2000

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Heart Atria
Hepatocellular Carcinoma
Thrombosis
Neoplasms
Heart Neoplasms
Extracorporeal Circulation
Hepatectomy
Disasters
Sudden Death
Pulmonary Embolism
Heart Failure
Neoplasm Metastasis
Bone and Bones
Recurrence
Survival

Keywords

  • Hepatocellular carcinoma
  • Intra-atrial tumor thrombus

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Yokoi, Y., Hachiya, T., Kurachi, K., Okamoto, K., Tsuchiya, Y., Okumara, T., ... Nakamura, S. (2000). Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium. Japanese Journal of Gastroenterological Surgery, 33(8), 1507-1511.

Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium. / Yokoi, Yoshihiro; Hachiya, Takashi; Kurachi, Kiyotaka; Okamoto, Kazuya; Tsuchiya, Yasuo; Okumara, Takuya; Suzuki, Shohachi; Konno, Hiroyuki; Nakamura, Satoshi.

In: Japanese Journal of Gastroenterological Surgery, Vol. 33, No. 8, 2000, p. 1507-1511.

Research output: Contribution to journalArticle

Yokoi, Y, Hachiya, T, Kurachi, K, Okamoto, K, Tsuchiya, Y, Okumara, T, Suzuki, S, Konno, H & Nakamura, S 2000, 'Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium', Japanese Journal of Gastroenterological Surgery, vol. 33, no. 8, pp. 1507-1511.
Yokoi Y, Hachiya T, Kurachi K, Okamoto K, Tsuchiya Y, Okumara T et al. Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium. Japanese Journal of Gastroenterological Surgery. 2000;33(8):1507-1511.
Yokoi, Yoshihiro ; Hachiya, Takashi ; Kurachi, Kiyotaka ; Okamoto, Kazuya ; Tsuchiya, Yasuo ; Okumara, Takuya ; Suzuki, Shohachi ; Konno, Hiroyuki ; Nakamura, Satoshi. / Resection of hepatocellular carcinoma with a tumor thrombus extending into the right atrium. In: Japanese Journal of Gastroenterological Surgery. 2000 ; Vol. 33, No. 8. pp. 1507-1511.
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