Diffuse intraperitoneal metastasis after spontaneous rupture of hepatocellular carcinoma

被引:22
作者
Lin, Chien-Chu
Chen, Chien-Hung
Tsang, Yuk-Ming
Jan, I-Shiow
Sheu, Jin-Chuan
机构
[1] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Med Imaging, Taipei 100, Taiwan
[3] Natl Taiwan Univ Hosp, Dept Lab Med, Taipei 100, Taiwan
[4] Natl Taiwan Univ, Coll Med, Taipei 10764, Taiwan
[5] Far Eastern Mem Hosp, Dept Internal Med, Taipei, Taiwan
关键词
hepatocellular carcinoma; peritoneal seeding; rupture;
D O I
10.1016/S0929-6646(09)60153-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rupture of hepatocellular carcinoma (HCC) is a fatal complication. Intraperitoneal metastasis after rupture of HCC is rare. We report a case of diffuse intraperitoneal metastases after rupture of HCC. A previously asymptomatic 32-year-old man was admitted because of massive ascites due to ruptured HCC. Poor liver reserve limited the therapeutic options. Transarterial chemoembolization was performed to stop tumor bleeding. Abdominal computed tomography demonstrated multiple large peritoneal metastases 3 months after the rupture episode. Echo-guided fine needle aspiration from the suprapubic area was performed. Cytology was positive for HCC. It is rare for HCC to develop intraperitoneal metastases in as short as 3 months.
引用
收藏
页码:577 / 582
页数:6
相关论文
共 27 条
[1]  
CHEARANAI O, 1983, CANCER, V51, P1532, DOI 10.1002/1097-0142(19830415)51:8<1532::AID-CNCR2820510829>3.0.CO
[2]  
2-3
[3]   SPONTANEOUS RUPTURE OF HEPATOCELLULAR-CARCINOMA - A REVIEW OF 141 TAIWANESE CASES AND COMPARISON WITH NONRUPTURE CASES [J].
CHEN, CY ;
LIN, XZ ;
SHIN, JS ;
LIN, CY ;
LEOW, TC ;
CHEN, CY ;
CHANG, TT .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1995, 21 (03) :238-242
[4]   EMERGENCY LIVER RESECTION FOR SPONTANEOUS RUPTURE OF HEPATOCELLULAR-CARCINOMA COMPLICATING CIRRHOSIS [J].
CHERQUI, D ;
PANIS, Y ;
ROTMAN, N ;
FAGNIEZ, PL .
BRITISH JOURNAL OF SURGERY, 1993, 80 (06) :747-749
[5]   The findings of ruptured hepatocellular carcinoma on helical CT [J].
Choi, BG ;
Park, SH ;
Byun, JY ;
Jung, SE ;
Choi, KH ;
Han, JY .
BRITISH JOURNAL OF RADIOLOGY, 2001, 74 (878) :142-146
[6]   Repeated resection for extrahepatic recurrences after hepatectomy for ruptured hepatocellular carcinoma [J].
Kaido, T ;
Arii, S ;
Shiota, M ;
Imamura, M .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2004, 11 (02) :149-152
[7]   INTRAPERITONEAL SEEDING FROM HEPATOMA [J].
KIM, PN ;
KIM, IY ;
LEE, KS .
ABDOMINAL IMAGING, 1994, 19 (04) :309-312
[8]   Successful surgical treatment for implanted intraperitoneal metastases of ruptured small hepatocellular carcinoma: Report of a case [J].
Kosaka, A ;
Hayakawa, H ;
Kusagawa, M ;
Takahashi, H ;
Okamura, K ;
Mizumoto, R ;
Katsuta, K .
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 1999, 29 (05) :453-457
[9]  
Lau K Y, 2003, Australas Radiol, V47, P231, DOI 10.1046/j.1440-1673.2003.01168.x
[10]   Management of spontaneous rupture of hepatocellular carcinoma: Single-center experience [J].
Liu, CL ;
Fan, ST ;
Lo, CM ;
Tso, WK ;
Poon, RTP ;
Lam, CM ;
Wong, J .
JOURNAL OF CLINICAL ONCOLOGY, 2001, 19 (17) :3725-3732