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

Background: hepatocellular 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 report: we reported a rare case of hepatocellular carcinoma with large invasion into the right atrium and no cardiac symptoms. conclusion: cardiac metastases occur in 10% of all cancer patients. heart involvement should be suspected in all patients.