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(Chest. 2001;119:657-658.)
© 2001 American College of Chest Physicians

Pulmonary Tumor Embolism as a Presenting Feature of Cavoatrial Hepatocellular Carcinoma*

Kevin Wilson, MD; Jeffrey Guardino, MD and Oz M. Shapira, MD, FCCP

* From the Department of Medicine, Division of Pulmonary and Critical Care Medicine (Dr. Wilson), Division of Cardiology (Dr. Guardino), and the Department of Cardiothoracic Surgery (Dr. Shapira), Boston University School of Medicine, Boston, MA.

Correspondence to: Oz M. Shapira, MD, FCCP, Department of Cardiothoracic Surgery, Boston Medical Center, 88 East Newton St, Boston, MA 02118; e-mail: oshapira{at}bu.edu

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.

Key Words: carcinoma, hepatocellular • embolism • liver neoplasms • pulmonary embolism • vena cava, inferior






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