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Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma

  • Authors:
    • Jixue Zou
    • Chao Li
    • Yi Chen
    • Rongxin Chen
    • Tongchun Xue
    • Xiaoying Xie
    • Lan Zhang
    • Zhenggang Ren
  • View Affiliations / Copyright

    Affiliations: Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, P.R. China, Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200433, P.R. China
    Copyright: © Zou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 6423-6430
    |
    Published online on: November 1, 2019
       https://doi.org/10.3892/ol.2019.11037
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Abstract

Spontaneous rupture is one of the complications of hepatocellular carcinoma (HCC) associated with a high mortality rate. Transcatheter arterial chemoembolization (TACE) has been widely used in patients with ruptured liver tumors. The aim of the present study was to evaluate the benefits and safety of conventional TACE and the disease prognosis following TACE and surgery with regard to the progression of spontaneously ruptured HCC. The clinical data of 70 patients diagnosed with spontaneous rupture of HCC were retrospectively reviewed. The majority of adverse reactions that occurred following treatment were Grade 2 or below. Grade 3/4 events occurred in 20 patients (14.3%), which included gastrointestinal hemorrhage, cardiac failure, pulmonary embolism, shock and recurrent tumor rupture. All of these patients recovered and were discharged following symptomatic and supportive treatment, with the exception of two cases of severe hemorrhagic shock and hepatic failure prior to TACE treatment. These patients did not survive during the period of hospitalization. Multivariate analysis identified that a maximum tumor size >10 cm and a high serum total bilirubin level >30 µmol/l were independent factors for determining overall patient survival rate. Additionally, the overall survival rates at 1, 6 and 12 months were 92.3, 53.8 and 46.2% in the TACE group and 100, 87.1 and 54.8% in the surgery group, respectively. The overall survival rates at 1 and 6 months following TACE were lower than those of the surgery group (P<0.05). However, the overall survival rates at 12 months were similar (P>0.05). Patients in the TACE group had a shorter hospital admission compared with those in the resection group (median 7 vs. 13 days; P<0.01). Therefore, the data demonstrated that conventional TACE therapy was safe and effective for the treatment of spontaneously ruptured HCC. In addition, this type of therapy conferred a similar long‑term survival rate with that of open surgery.
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Copy and paste a formatted citation
Spandidos Publications style
Zou J, Li C, Chen Y, Chen R, Xue T, Xie X, Zhang L and Ren Z: Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma. Oncol Lett 18: 6423-6430, 2019.
APA
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X. ... Ren, Z. (2019). Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma. Oncology Letters, 18, 6423-6430. https://doi.org/10.3892/ol.2019.11037
MLA
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X., Zhang, L., Ren, Z."Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma". Oncology Letters 18.6 (2019): 6423-6430.
Chicago
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X., Zhang, L., Ren, Z."Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma". Oncology Letters 18, no. 6 (2019): 6423-6430. https://doi.org/10.3892/ol.2019.11037
Copy and paste a formatted citation
x
Spandidos Publications style
Zou J, Li C, Chen Y, Chen R, Xue T, Xie X, Zhang L and Ren Z: Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma. Oncol Lett 18: 6423-6430, 2019.
APA
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X. ... Ren, Z. (2019). Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma. Oncology Letters, 18, 6423-6430. https://doi.org/10.3892/ol.2019.11037
MLA
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X., Zhang, L., Ren, Z."Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma". Oncology Letters 18.6 (2019): 6423-6430.
Chicago
Zou, J., Li, C., Chen, Y., Chen, R., Xue, T., Xie, X., Zhang, L., Ren, Z."Retrospective analysis of transcatheter arterial chemoembolization treatment for spontaneously ruptured hepatocellular carcinoma". Oncology Letters 18, no. 6 (2019): 6423-6430. https://doi.org/10.3892/ol.2019.11037
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