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Journal of the Korean Liver Cancer Study Group 2006;6(1):25-27.
Published online June 30, 2006.
A Case of Successful Hepatic Resection for Hepatocellular Carcinoma with Tumor Thrombus Extending into the Right Atrium
Yong Beom Cho1, Kuhn Uk Lee1, Hyo-Suk Lee2, Hyuk Ahn3, Hae Won Lee1, Eung-Ho Cho1, Sung-Hoon Yang1, Jai Young Cho1, Nam-Joon Yi1, Kyung-Suk Suh1
1Departments of Surgery, Seoul National University College of Medicine, Seoul, Korea
2Departments of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
3Departments of Thoracic and Cardiovascular Surgery2, Seoul National University College of Medicine, Seoul, Korea
Correspondence:  Kuhn Uk Lee,
Email: kulee@plaza.snu.ac.kr
Abstract
Hepatocellular carcinoma (HCC) with extension of its tumor thrombus into the inferior vena cava (IVC) and right atrium has been regarded as beyond the realm of surgical resection. It could cause sudden death due to pulmonary embolism or heart failure by the detached fragments of tumor thrombus. In recent years, successful surgery has been reported for hepatic malignancies with its tumor thrombus to the IVC and right atrium by some centers of Taiwan and Japan. We also did a successful en bloc resection of the liver tumor and its tumor thrombus in the IVC and right atrium using cardiopulmonary bypass and report herein.
Key Words: Hepatocellular carcinoma; Tumor thrombus; Right atrium; Cardiopulmonary bypass
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