A large Right atrial mass in a patient with hepatocellular carcinoma: Case report and literature review

BackgroundHepatocellular carcinoma (HCC) is a common malignancy and the most frequent sites of metastasis include lungs, bone, lymphatic, and brain, however, Intra-cardiac involvement rarely develops in patients with HCC and it has poor prognosis. The clinical course may be complicated by many fatal cardiovascular complications. Absence of cardiac symptoms, however, is an unusual condition.Case reportWe reported a rare case of hepatocellular carcinoma with large invasion into the right atrium and no cardiac symptoms.ConclusionCardiac metastases occur in 10% of all cancer patients. Heart involvement should be suspected in all patients.