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Recovery of malignant tumor cells from the right atrium during hepatic resection for hepatocellular carcinoma
Author(s) -
Koo Jarley,
Fung K.,
Siu K. F.,
Lee N. W.,
Lett Z.,
Ho J.,
Wong J.,
Ong G. B.
Publication year - 1983
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19831115)52:10<1952::aid-cncr2820521029>3.0.co;2-0
Subject(s) - medicine , hepatocellular carcinoma , right atrium , resection , embolization , carcinoma , surgery
Tumor cells were recovered from the right atrium in three of five patients during hepatic resection for hepatocellular carcinoma. Mechanical factors during blunt mobilization and rotation of the hepatic tumor appeared to be responsible for tumor dislodgement into the venous circulation. Tumor embolization to the lungs may be one of the important reasons for the poor results of surgery in this disease. Two possible technical and therapeutic modifications are suggested to prevent or neutralize this phenomenon.