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Article: The role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma

TitleThe role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma
Authors
Issue Date1998
PublisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/crad
Citation
Clinical Radiology, 1998, v. 53 n. 5, p. 338-341 How to Cite?
AbstractThirty-three patients presenting with spontaneous rupture of hepatocellular carcinomas (HCCs) were referred for emergency transcatheter arterial embolization. Blood was present in the ascitic fluid on abdominal paracentesis in all 33 patients. Seventeen patients underwent emergency computed tomography (CT). HCCs were demonstrated on CT in all 17 patients. Blood was detected in the peritoneal cavity or around the liver surface on CT in 15 patients (88.2%), one of whom also had active extravasation of the contrast medium into the peritoneal cavity. Vascular tumours were present in the hepatic angiograms prior to embolization in all 33 patients but extravasation of the contrast medium from the HCC was seen on angiography in only six patients (18.2%). Bleeding from the ruptured HCC was stopped at the end of the procedure in 32 patients who had undergone successful embolization. The overall median survival time was 9 weeks. The median survival time of patients with a serum total bilirubin level of 50 μmol/l or below was 15 weeks, while that of patients with a serum total bilirubin level above 50 μmol/l was only 1 week, the difference being statistically significant. Embolization is therefore the treatment of choice in arresting life-threatening bleeding in ruptured HCC in patients with a serum total bilirubin level of 50 μmol/l or below, but the procedure is rarely effective in prolonging survival in patients with a serum total bilirubin above this critical level.
Persistent Identifierhttp://hdl.handle.net/10722/76745
ISSN
2015 Impact Factor: 2.151
2015 SCImago Journal Rankings: 0.864
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNgan, Hen_HK
dc.contributor.authorTso, WKen_HK
dc.contributor.authorLai, CLen_HK
dc.contributor.authorFan, STen_HK
dc.date.accessioned2010-09-06T07:24:28Z-
dc.date.available2010-09-06T07:24:28Z-
dc.date.issued1998en_HK
dc.identifier.citationClinical Radiology, 1998, v. 53 n. 5, p. 338-341en_HK
dc.identifier.issn0009-9260en_HK
dc.identifier.urihttp://hdl.handle.net/10722/76745-
dc.description.abstractThirty-three patients presenting with spontaneous rupture of hepatocellular carcinomas (HCCs) were referred for emergency transcatheter arterial embolization. Blood was present in the ascitic fluid on abdominal paracentesis in all 33 patients. Seventeen patients underwent emergency computed tomography (CT). HCCs were demonstrated on CT in all 17 patients. Blood was detected in the peritoneal cavity or around the liver surface on CT in 15 patients (88.2%), one of whom also had active extravasation of the contrast medium into the peritoneal cavity. Vascular tumours were present in the hepatic angiograms prior to embolization in all 33 patients but extravasation of the contrast medium from the HCC was seen on angiography in only six patients (18.2%). Bleeding from the ruptured HCC was stopped at the end of the procedure in 32 patients who had undergone successful embolization. The overall median survival time was 9 weeks. The median survival time of patients with a serum total bilirubin level of 50 μmol/l or below was 15 weeks, while that of patients with a serum total bilirubin level above 50 μmol/l was only 1 week, the difference being statistically significant. Embolization is therefore the treatment of choice in arresting life-threatening bleeding in ruptured HCC in patients with a serum total bilirubin level of 50 μmol/l or below, but the procedure is rarely effective in prolonging survival in patients with a serum total bilirubin above this critical level.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/craden_HK
dc.relation.ispartofClinical Radiologyen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshCarcinoma, Hepatocellular - complications - radiographyen_HK
dc.subject.meshEmbolization, Therapeuticen_HK
dc.subject.meshEmergenciesen_HK
dc.subject.meshExtravasation of Diagnostic and Therapeutic Materials - etiology - radiographyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHemorrhage - etiology - radiography - therapyen_HK
dc.subject.meshHepatic Artery - radiographyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLiver Neoplasms - complications - radiographyen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshRupture, Spontaneousen_HK
dc.subject.meshSurvival Rateen_HK
dc.subject.meshTomography, X-Ray Computeden_HK
dc.titleThe role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0009-9260&volume=53&issue=5&spage=338&epage=41&date=1998&atitle=The+role+of+hepatic+arterial+embolization+in+the+treatment+of+spontaneous+rupture+of+hepatocellular+carcinoma.en_HK
dc.identifier.emailLai, CL: hrmelcl@hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityLai, CL=rp00314en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0009-9260(98)80004-4en_HK
dc.identifier.pmid9630270en_HK
dc.identifier.scopuseid_2-s2.0-0031799478en_HK
dc.identifier.hkuros44922en_HK
dc.identifier.hkuros37178-
dc.identifier.volume53en_HK
dc.identifier.issue5en_HK
dc.identifier.spage338en_HK
dc.identifier.epage341en_HK
dc.identifier.isiWOS:000073763200004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridNgan, H=7102173824en_HK
dc.identifier.scopusauthoridTso, WK=7006905486en_HK
dc.identifier.scopusauthoridLai, CL=7403086396en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK

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