TY - JOUR
T1 - Surgical Cases of Rupture of Hepatocellular Carcinoma after Transcatheter Arterial Embolization
AU - Ashizawa, Yosuke
AU - Suzuki, Daisuke
AU - Yoshitomi, Hideyuki
AU - Furukawa, Katsunori
AU - Takayashiki, Tsukasa
AU - Kuboki, Satoshi
AU - Takano, Shigetsugu
AU - Sakai, Nozomu
AU - Kagawa, Shingo
AU - Nojima, Hiroyuki
AU - Mishima, Takashi
AU - Takahashi, Makoto
AU - Hanzawa, Yusuke
AU - Ohtsuka, Masayuki
PY - 2018/12/1
Y1 - 2018/12/1
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/85060641975
M3 - 記事
C2 - 30692342
AN - SCOPUS:85060641975
SN - 0385-0684
VL - 45
SP - 2235
EP - 2237
JO - Japanese Journal of Cancer and Chemotherapy
JF - Japanese Journal of Cancer and Chemotherapy
IS - 13
ER -
