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Ectopic hepatocellular carcinoma in the adrenal gland with inferior vena cava thrombosis and right atrial extension
Author(s) -
Rorris FilipposPaschalis,
Tyrovolas Konstantinos,
Theodosis Antonios,
Tsamatsoulis Michalis,
Charitos Christos
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14594
Subject(s) - medicine , inferior vena cava , hepatocellular carcinoma , thrombosis , adrenal gland , renal cell carcinoma , radiology , carcinoma , surgery
Intravascular tumor extension in the inferior vena cava (IVC) is known to occur with abdominal tumors, such as renal cell, hepatocellular, adrenal cell carcinoma, and Wilm's tumor. We encountered a 53‐year‐old male patient presenting with pulmonary embolism and a right atrial mass with imaging evidence of an adrenal tumor extending into the IVC, up to the right atrium. The patient underwent surgery for the resection of the tumor using cardiopulmonary bypass by a team of cardiothoracic surgeons and urologists. Histology identified the tumor as hepatocellular carcinoma, which developed as ectopic hepatic tissue in the right adrenal gland.