Management and Outcome of Ruptured Hepatocellular Carcinoma
Keywords:
Ruptured, hepatocellular carcinoma, management, outcomeAbstract
This study reviewed 84 patients with ruptured hepatocellular carcinoma (HCC) who were treated at Chonburi
Hospital during 2006-2012. There were 72 males and 12 females. In acute management, 52 were treated conservatively,
23 were treated by transarterial embolization (TAE), 5 were treated by surgery followed by TAE and 4 were treated by
surgery alone. Overall 30-day mortality was 61.9%. Factors related to early mortality are Child’s classification, MELD
score and age. Four patients underwent delayed hepatectomy as a definitive treatment. The median survival after
hepatectomy was more than 34 months. The longest follow up was a patient who underwent delayed hepatectomy as
a definitive treatment and remained disease-free after 60 months. Hepatectomy should be considered as a definitive
treatment for ruptured HCC in delayed phase. A suitable candidate for hepatectomy is a patient who has good
performance status and normal liver function.
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