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Background <p>Secondary cardiac tumors of hepatic origin are extremely rare in clinical practice, although they have been described more frequently in postmortem autopsy studies. This is most likely due to local invasion through the inferior vena cava into the right atrium.</p> Case presentation <p>Here, we present a very rare case of an asymptomatic, aggressive right heart mass that was identified as hepatocellular carcinoma in the absence of a detectable primary tumor. The diagnosis was made incidentally in a 65-year-old male patient.</p> Conclusion <p>Given its silent presentation, poor prognosis and complex approach, it remains an unfortunate diagnosis with limited survival.</p>

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A hepatocellular carcinoma in the heart with no other primary. Can be? Case report & review of literature

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月24日

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  • Dina Fa alwaheidi,
  • Tamer Abdelghafoor,
  • Mohamed El-Kahlout,
  • Mohd lateef wani,
  • Abdulwahid Al-Mulla,
  • Samah Mohamed,
  • Colin Clelland

摘要

Background

Secondary cardiac tumors of hepatic origin are extremely rare in clinical practice, although they have been described more frequently in postmortem autopsy studies. This is most likely due to local invasion through the inferior vena cava into the right atrium.

Case presentation

Here, we present a very rare case of an asymptomatic, aggressive right heart mass that was identified as hepatocellular carcinoma in the absence of a detectable primary tumor. The diagnosis was made incidentally in a 65-year-old male patient.

Conclusion

Given its silent presentation, poor prognosis and complex approach, it remains an unfortunate diagnosis with limited survival.