原发性肝癌侵犯门静脉及下腔静脉常见，但癌栓沿下腔静脉长入右心房、室并以心脏病就诊者罕见。我们遇见１例，报告如下。患者男，４４岁。因活动后心慌、气促、双下肢水肿２０多天，腰痛１０天入院。查体；腹膨隆，移动性浊者阳性，双下肢水肿，颈静脉怒张。血常规ＷＢＣ... Primary liver cancer invading the portal vein and inferior vena cava are common, but tumor thrombi grow into the right atrium along the inferior vena cava and are rarely seen in cardiac patients. We met one case, the report is as follows. Male patient, 44 years old. After activities due to palpitation, shortness of breath, edema of lower extremities more than 20 days, lumbago 10 days admitted. Physical examination; abdominal bulging, moving turbid positive, double lower extremity edema, jugular vein engorgement. Blood WBC ...