Abstract
This study was made of 32 cases of ruptured hepatocellular carcinoma (HCC) concerning clinical findings, prognostic factors, and surgically resected cases. The most common complaint was abdominal pain which occurred in 24 cases (75.0%), and relatively few cases (seven cases; 21.9%) were associated with shock. As the initial therapy, emergency transcatheter hepatic artery embolization (TAE) was performed in 20 cases (62.5%), followed by surgical resection in 3 cases after the gain of hepatic function. Six patients (18.8%) encountered with re-rupture. The prognosis after rupture was poor, and a mean survival period was 130 days in non-recected cases. Whereas the longest survival for 8 years and 4 months was sttained in one patient who underwent a surgical resection. In the patients group with conditions including liver cirrhosis, diffuse type tumor, portal vein tumor thrombus positive, PT<70%. T-Bil≥2mg/dl, and Alb<3g/dl, the prognosis was significantly poorer than other patients groups. These factors may be available for prospecting the clinical course after the rupture of HCC.
