An asymptomatic huge hepatocellular carcinoma with intra-atrial tumor thrombus in a patient with chronic hepatitis B viral infection.

Hepatocellular carcinoma is the most important complication of cirrhosis. All types of cirrhosis predispose to hepatocellular carcinoma, but 10 to 20% of cases may develop in patients without cirrhosis. Here, we present an asymptomatic precirrhotic patient with hepatocellular carcinoma and intra-atrial tumor thrombus.