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Article: Transesophageal echocardiography in the detection of inferior vena cava and cardiac metastasis in hepatocellular carcinoma

TitleTransesophageal echocardiography in the detection of inferior vena cava and cardiac metastasis in hepatocellular carcinoma
Authors
Keywordscardiac metastasis
hepatocellular carcinoma
transesophageal echocardiography
Issue Date1996
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.clinicalcardiology.org
Citation
Clinical Cardiology, 1996, v. 19 n. 3, p. 211-213 How to Cite?
AbstractAntemortem diagnosis of inferior vena cava (IVC) and cardiac metastasis of hepatocellular carcinoma (HCC) is difficult but important before consideration of curative resection. There are only a few cases of cardiac metastasis of HCC which have been diagnosed antemortem by echocardiography. Accordingly, 18 consecutive patients with HCC who were potential candidates for curative resection were studied by transthoracic (TTE) and transesophageal echocardiography (TEE). One (6%) and two (11%) patients had cardiac and IVC metastasis of HCC, respectively, which was detected by two- dimensional TTE. In contrast, by using TEE, four patients (22%) showed tumor invasion of the IVC, of whom two (11%) had tumor mass extending into the right atrium (RA). There was no significant difference in age, serum level of alpha-fetoprotein, and percentage of right liver lobar involvement between those with an without cardiac metastasis. Patients without cardiac metastasis detected on TTE or TEE had significantly longer mean duration of survival (5.0 ± 2.1 vs. 1.0 months; p < 0.05). In summary, TEE may be useful than TEE in the detection of cardiac metastasis of HCC, which occurred in 22% of patients whose primary tumor was considered to be surgically resectable in our series. This can be safely performed in patients with HCC and can provide optimal visualization on the IVC and RA. The high prevalence of subclinical cardiac metastasis in HCC mandates the use of TEE in all patients with HCC prior to surgical intervention.
Persistent Identifierhttp://hdl.handle.net/10722/78456
ISSN
2015 Impact Factor: 2.431
2015 SCImago Journal Rankings: 1.309
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTse, HFen_HK
dc.contributor.authorLau, CPen_HK
dc.contributor.authorLau, YKen_HK
dc.contributor.authorLai, CLen_HK
dc.date.accessioned2010-09-06T07:43:05Z-
dc.date.available2010-09-06T07:43:05Z-
dc.date.issued1996en_HK
dc.identifier.citationClinical Cardiology, 1996, v. 19 n. 3, p. 211-213en_HK
dc.identifier.issn0160-9289en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78456-
dc.description.abstractAntemortem diagnosis of inferior vena cava (IVC) and cardiac metastasis of hepatocellular carcinoma (HCC) is difficult but important before consideration of curative resection. There are only a few cases of cardiac metastasis of HCC which have been diagnosed antemortem by echocardiography. Accordingly, 18 consecutive patients with HCC who were potential candidates for curative resection were studied by transthoracic (TTE) and transesophageal echocardiography (TEE). One (6%) and two (11%) patients had cardiac and IVC metastasis of HCC, respectively, which was detected by two- dimensional TTE. In contrast, by using TEE, four patients (22%) showed tumor invasion of the IVC, of whom two (11%) had tumor mass extending into the right atrium (RA). There was no significant difference in age, serum level of alpha-fetoprotein, and percentage of right liver lobar involvement between those with an without cardiac metastasis. Patients without cardiac metastasis detected on TTE or TEE had significantly longer mean duration of survival (5.0 ± 2.1 vs. 1.0 months; p < 0.05). In summary, TEE may be useful than TEE in the detection of cardiac metastasis of HCC, which occurred in 22% of patients whose primary tumor was considered to be surgically resectable in our series. This can be safely performed in patients with HCC and can provide optimal visualization on the IVC and RA. The high prevalence of subclinical cardiac metastasis in HCC mandates the use of TEE in all patients with HCC prior to surgical intervention.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.clinicalcardiology.orgen_HK
dc.relation.ispartofClinical Cardiologyen_HK
dc.subjectcardiac metastasisen_HK
dc.subjecthepatocellular carcinomaen_HK
dc.subjecttransesophageal echocardiographyen_HK
dc.subject.meshCarcinoma, Hepatocellular - secondary - surgery - ultrasonography-
dc.subject.meshEchocardiography, Transesophageal-
dc.subject.meshHeart Neoplasms - secondary - ultrasonography-
dc.subject.meshLiver Neoplasms - pathology - surgery-
dc.subject.meshVascular Neoplasms - secondary - ultrasonography-
dc.titleTransesophageal echocardiography in the detection of inferior vena cava and cardiac metastasis in hepatocellular carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0160-9289&volume=19&issue=3&spage=211&epage=213&date=1996&atitle=Transesophageal+echocardiography+in+the+detection+of+inferior+vena+cava+and+cardiac+metastasis+in+hepatocellular+carcinomaen_HK
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_HK
dc.identifier.emailLai, CL:hrmelcl@hku.hken_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.identifier.authorityLai, CL=rp00314en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid8674258-
dc.identifier.scopuseid_2-s2.0-0029833424en_HK
dc.identifier.hkuros12767en_HK
dc.identifier.volume19en_HK
dc.identifier.issue3en_HK
dc.identifier.spage211en_HK
dc.identifier.epage213en_HK
dc.identifier.isiWOS:A1996TY12800013-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK
dc.identifier.scopusauthoridLau, CP=7401968501en_HK
dc.identifier.scopusauthoridLau, YK=7201403303en_HK
dc.identifier.scopusauthoridLai, CL=7403086396en_HK

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