JILTI. 2025; 3(2): 75-78 | DOI: 10.14744/jilti.2025.58066

Surgical Treatment of Tumor Thrombus Extending into the Right Atrium in Hepatocellular Carcinoma: Case Report

Adem Tuncer¹, Canan Dilay Dirican², Emrah Sahin¹, Bulent Unal¹, Abuzer Dirican^1
1Department of General Surgery, İstanbul Aydın University, İstanbul, Türkiye
²Department of Internal Medicine, New York Medical College, St. Mary's and St. Clare's Hospitals, Denville, NJ.

Hepatocellular carcinoma (HCC) stands as a primary contributor to cancer-related mortality across the globe. While intrahepatic vascular invasion is a frequent finding in individuals with HCC, the progression of a tumor thrombus through the inferior vena cava (IVC) and into the right atrium is an infrequent event. This report details the surgical handling of a 72-year-old male patient diagnosed with HCC in the right hepatic lobe, which was complicated by a tumor thrombus extending into the inferior vena cava and approaching the right atrium. The patient successfully underwent a right hepatectomy combined with thromboendovenectomy and had an unremarkable postoperative course. At a 10-month follow-up, no signs of recurrence were detected. This case under-scores the beneficial effect of meticulously planned surgical procedures on the survival of patients with advanced HCC and brings attention to the value of employing aggressive surgical strategies.

Keywords: Inferior Vena Cava, Hepatocellular Carcinoma, Right Atrial Invasion, Tumor Thrombus

---

CITE