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Long‐Term survivor of ruptured hepatocellular carcinoma after two hepatic resections
Author(s) -
Tanaka Koki,
Yamashita Takuya,
Yotsumoto Goichi,
Ikoma Akira,
Ishibe Ryohei,
Taira Akira
Publication year - 1994
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02391083
Subject(s) - medicine , hepatocellular carcinoma , laparotomy , hepatectomy , surgery , abdominal cavity , liver tumor , hepatic tumor , liver function , resection , gastroenterology , radiology
Abstract We report here a long‐term survivor of ruptured hepatocellular carcinoma (HCC). A 37‐year‐old Japanese man complained of sudden abdominal pain after taking an alcoholic drink. Ultrasonographic examination showed a large amount of fluid in the abdominal cavity. Emergency laparotomy was performed. A solid mass showing extrahepatic growth was present in the right lobe of the liver. No active bleeding site was detected, but the tumor was covered with old blood coagula. The tumor was covered with the greater omentum to prevent further hemorrhage. Following assessment of the extent of the tumor and of liver function, delayed hepatectomy was performed. Histological examination indicated the tumor to be HCC. Twenty‐six months after initial hepatic resection, partial resection of the liver was performed again for recurrent tumor. The patient has survived without recurrence for more than 5 years. The long survival was due, we believe to the liver being non‐cirrhotic, the delayed hepatic resection, and the early detection of the recurrent tumor.