Case Study On Pulmonary and Right Atrial Cardiac Metastases Among Children with Hepatocellular Carcinoma

D. Kr, Dr. John Abraham, Dr. Pachai Pandy
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Abstract

The occurrence of hepatocellular carcinoma(HpC) hepato-blastoma (HB) in children with metastases in both the right atrium and lungs is a rare occurrence. Overcoming these challenges in treatment is an intricate and demanding process. We present a rare clinical case involving a pediatric patient diagnosed with hepatoblastoma (HpC) that exhibited metastasis to both the lungs and the right atrium. In response to this complex condition, surgical intervention was undertaken, complemented by a carefully administered combination of chemotherapy. This dual-phase chemotherapy, administered both pre- and post-operation, served as an adjuvant treatment strategy. The primary objective of this comprehensive therapeutic approach was to attain full remission, eliminating any traces of the malignancy. The intricacies of managing metastatic HpC in pediatric cases underscore the importance of multidisciplinary interventions, emphasizing the critical role of surgery and adjuvant chemotherapy in the pursuit of a positive treatment outcome. Thus, individuals with HB that has spread to the lungs and right atrium may have a favorable outcome by undergoing proactive and multimodal therapy. 
肝细胞癌儿童肺部和右心房心脏转移病例研究
儿童肝细胞癌(HpC)和肝母细胞瘤(HB)同时转移至右心房和肺部的情况十分罕见。克服这些治疗难题是一个复杂而艰巨的过程。我们介绍了一个罕见的临床病例,该病例涉及一名被诊断为肝母细胞瘤(HpC)的儿童患者,患者的肺部和右心房均出现转移。针对这种复杂的病情,我们采取了手术治疗,并辅以精心实施的联合化疗。这种双阶段化疗在手术前后同时进行,是一种辅助治疗策略。这种综合治疗方法的主要目的是达到完全缓解,消除恶性肿瘤的任何痕迹。处理儿科转移性 HpC 病例的复杂性凸显了多学科干预的重要性,强调了手术和辅助化疗在追求积极治疗结果中的关键作用。因此,对于已扩散至肺部和右心房的 HB 患者,通过积极主动的多模式治疗可获得良好的治疗效果。
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