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GE-Portuguese Journal of Gastroenterology
versão impressa ISSN 2341-4545
Resumo
BOTTO, Inês et al. Hepatocellular Carcinoma with Vascular and Cardiac Involvement in a Young Patient with Non-Cirrhotic Hepatitis B: A Case Report. GE Port J Gastroenterol [online]. 2025, vol.32, n.2, pp.42-46. Epub 15-Maio-2025. ISSN 2341-4545. https://doi.org/10.1159/000539093.
Introduction:
Hepatocellular carcinoma (HCC) is a highly vascular malignancy with the potential for intravascular invasion. However, vascular extension into the cardiac chambers is extremely rare.
Case Presentation:
We present a 25-year-old male patient in whom the investigation of a cardiac murmur led to the discovery of an intracardiac mass that proved to be advanced-stage HCC with vascular invasion of the right heart. The patient had a previously unknown non-cirrhotic chronic hepatitis B virus (HBV) infection. Despite antiviral therapy and systemic treatment for HCC, he eventually died about 1 month later due to disease progression.
Conclusion:
This report highlights the importance of early HBV diagnosis and treatment for timely detection and management of HCC. Advanced-stage HCC, particularly with cardiac involvement, has an extremely poor prognosis.
Palavras-chave : Hepatocellular carcinoma; Hepatitis B virus; Right atrial extension.
