Diffuse intraperitoneal metastasis after spontaneous rupture of hepatocellular carcinoma
Journal
Journal of the Formosan Medical Association
Journal Volume
105
Journal Issue
7
Pages
577-582
Date Issued
2006
Author(s)
Abstract
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. ? 2006 Elsevier & Formosan Medical Association.
SDGs
Other Subjects
abdominal scintiscanning; adult; anamnesis; article; ascites; aspiration biopsy; cancer survival; case report; chemoembolization; clinical feature; computer assisted tomography; cytology; follow up; histopathology; human; laboratory test; liver angiography; liver cell carcinoma; liver rupture; male; peritoneum metastasis; physical examination; survival time; treatment contraindication; tumor bleeding
Type
journal article