Surgical Cases of Rupture of Hepatocellular Carcinoma after Transcatheter Arterial Embolization

Rupture of hepatocellular carcinoma(HCC)is a disease wherein the prognosis is poor. In this study, we investigated cases of rupture of HCC that we encountered over 18 years. The age of onset ranged 48-76 years(67 years on average). The patients included 5 males and 1 female. All the cases experience...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 45; no. 13; p. 2235
Main Authors Ashizawa, Yosuke, Suzuki, Daisuke, Yoshitomi, Hideyuki, Furukawa, Katsunori, Takayashiki, Tsukasa, Kuboki, Satoshi, Takano, Shigetsugu, Sakai, Nozomu, Kagawa, Shingo, Nojima, Hiroyuki, Mishima, Takashi, Takahashi, Makoto, Hanzawa, Yusuke, Ohtsuka, Masayuki
Format Journal Article
LanguageJapanese
Published Japan 01.12.2018
Subjects
Carcinoma, Hepatocellular - surgery
Embolization, Therapeutic - adverse effects
Female
Hepatectomy
Humans
Liver Neoplasms - surgery
Male
Neoplasm Recurrence, Local
Retrospective Studies
Rupture, Spontaneous
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Summary:Rupture of hepatocellular carcinoma(HCC)is a disease wherein the prognosis is poor. In this study, we investigated cases of rupture of HCC that we encountered over 18 years. The age of onset ranged 48-76 years(67 years on average). The patients included 5 males and 1 female. All the cases experienced onset with rapid abdominal pain or loss of consciousness. Shock conditions appeared in 3 cases. Arrest of bleeding was possible by transcatheter arterial embolization(TAE)in all the cases. Subsequently, systemic search and evaluation of hepatic functional reserve were conducted. Hepatectomy was performed in all the cases. No notable complications occurred after the surgery. Two patients with recurrent peritoneal dissemination died of the original disease within 2 years. In the other 3 patients, recurrence has not occurred, and 2 of them have achieved long-term recurrence-free survivals for 4 years or longer. Therefore, based on the findings, we consider that longterm survival can be expected, depending on individual cases.
ISSN:0385-0684