Spontaneous rupture of hepatocellular carcinoma.
Hepatocellular carcinoma is the most common malignancy among males and the 7th among female patients in the Kingdom of Saudi Arabia. This is due to the endemicity of hepatitis B and hepatitis C. Spontaneous rupture of hepatocellular carcinoma is rare. We report 4 cases of spontaneous rupture of hepatocellular carcinoma. Initial control of bleeding was achieved surgically in 3 patients and by embolization in the 4th patient. All patients had very good hepatic reserve as reflected by Child-Pugh scoring (A & B). We found that the incidence of ruptured hepatocellular carcinoma among 85 patients was 4.7%. The prognosis of this subgroup of patients is poor as reflected by the low median survival ranging from 6-16 weeks.
Al-Mashat
Faisal M
FM
Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia. falmashat@yahoo.com
Sibiany
Abdulrahman M
AM
Kashgari
Rashid H
RH
Maimani
Abdulraouf A
AA
Al-Radi
Asim O
AO
Balawy
Ibrahim A
IA
Ahmad
Jamal Eldin A
JE
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012422:Rupture, Spontaneous