Type:
Educational Exhibit
Keywords:
Outcomes, Metastases, Acute, Embolisation, Diagnostic procedure, CT, Catheter arteriography, Liver, Interventional vascular, Abdomen
Authors:
D. Bijdevaate, R. Dwarkasing, A. Moelker, G. P. Krestin, F. Willemssen; Rotterdam/NL
DOI:
10.1594/ecr2013/C-1973
Conclusion
Subcapsular location and large tumor diameter are associated with acute hemorrhage of HCC.
Portal vein trombosis and signs of portal hypertension don't seem to be closely associated with acute haemorrhage of HCC.
Once a HCC ruptures transarterial embolization is usually the therapy of choice followed by chemoembolization after work-up of the patient.
The culprit lesions are usually in an advanced state which precludes any surgery and percutaneous ablation.
Hemorrhage of HCC seems to be a poor prognostic marker.
In our patient group 11 of 23 patients died within 6 months to a year. Metastasis,
especially peritoneal metastasis,
which occured in 3 patients,
is a remarkable complication of HCC rupture in our series,
and all developed within one year.