Pulmonary tumor embolism as a presenting feature of cavoatrial hepatocellular carcinoma

Chest. 2001 Feb;119(2):657-8. doi: 10.1378/chest.119.2.657.


Pulmonary tumor embolism as a presenting feature of hepatocellular carcinoma is rare. It has been reported only once previously. In that case, other signs and symptoms of liver disease were present. We report the case of a patient with cavoatrial hepatocellular carcinoma presenting with isolated pulmonary tumor embolism, without any clinical or laboratory evidence of liver disease. Hepatocellular carcinoma should be included in the differential diagnosis as a rare cause of pulmonary tumor embolism.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / diagnosis*
  • Coronary Disease / complications
  • Dyspnea / etiology
  • Echocardiography, Doppler
  • Heart Atria / diagnostic imaging
  • Heart Atria / pathology*
  • Hepatic Veins / pathology
  • Humans
  • Hypertension, Pulmonary / etiology
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnosis*
  • Male
  • Neoplastic Cells, Circulating*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / pathology*