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Ruptured Massive Hepatocellular Carcinoma Cured by Transarterial Chemoembolization

대한간암학회지 2020년 20권 2호 p.154 ~ 159
이지은, 박중원, 이인준, 김보현, 김성훈, 김현범,
소속 상세정보
이지은 ( Lee Ji-Eun ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer
박중원 ( Park Joong-Won ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer
이인준 ( Lee In-Joon ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer
김보현 ( Kim Bo-Hyun ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer
김성훈 ( Kim Seoung-Hoon ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer
김현범 ( Kim Hyun-Beom ) - National Cancer Center Center for Liver and Pancreatobiliary Cancer

Abstract


Spontaneous tumor rupture is a serious but rare complication of hepatocellular carcinoma (HCC) and has a low survival rate. Here, we report a case of massive HCC that ruptured and was treated successfully with transarterial chemoembolization (TACE). A 55-year-old man with abdominal pain was diagnosed with a 12-cm-wide ruptured HCC at segment 8. The overall liver function was scored as Child?Pugh A, but the single nodule tumor had ruptured; therefore, TACE treatment was initiated. After the first TACE treatment, residual tumors were found; thus, secondary TACE was performed 5 months later. No new lesions or extrahepatic metastases were found 16 months after the first TACE treatment, so hepatic resection was performed for curative treatment. The postoperative pathology results did not reveal any cancer cells; hence, TACE alone resulted in a cure. We report this case because the cure has been maintained for more than 3 years after resection.

키워드

Hepatocellular carcinoma; Spontaneous rupture; Transarterial chemoembolization

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