Abstract:

Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver and eighth-most common cancer. The most frequent sites of metastasis are the lungs, the bones, the lymphatics, and the brain. An isolated metastasis of an HCC to the right atrium and inferior vena cava (IVC) is extremely rare. Here we discuss a case presentation of a 61-year-old female who presented with 2 weeks of generalized weakness, she was found to have advanced stage HCC with metastasis to the IVC and right atrium of her heart. We recommend that echocardiography should be routinely performed for all patients with advanced HCC because if the metastasis to the right atrium is not detected early enough, the clinical the course will be complicated by many unexpected cardiovascular complications which would likely be fatal. Currently, the prognosis for this disease is very poor so the further investigation into surgical and medical treatments needs to occur.