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Comparison of conservative treatment versus transcatheter arterial embolisation for the treatment of spontaneously ruptured hepatocellular carcinoma

Comparison of conservative treatment versus transcatheter ...

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dc.contributor.author Shinmura, Kohei pl
dc.contributor.author Choi, Young Ho pl
dc.contributor.author Shimohira, Masashi pl
dc.contributor.author Baba, Yasutaka pl
dc.contributor.author Ikeda, Shunichiro pl
dc.contributor.author Hayashi, Sadao pl
dc.contributor.author Shibamoto, Yuta pl
dc.contributor.author Koriyama, Chihaya pl
dc.contributor.author Yoshiura, Takashi pl
dc.date.accessioned 2018-08-22T07:38:44Z
dc.date.available 2018-08-22T07:38:44Z
dc.date.issued 2018 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/56301
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Comparison of conservative treatment versus transcatheter arterial embolisation for the treatment of spontaneously ruptured hepatocellular carcinoma pl
dc.type JournalArticle pl
dc.description.physical e311-e318 pl
dc.description.additional Bibliogr. s. e318 pl
dc.abstract.en Purpose: To elucidate the prognostic factors in the spontaneous rupture of hepatocellular carcinoma (HCC) and to determine whether transcatheter arterial embolisation (TAE) is associated with better prognosis compared to conservative treatment. Material and methods: A retrospective multicentre study was conducted involving 71 patients with spontaneous rupture of HCC. A conservative treatment group (Cons T group) included 20 patients, while a transcatheter arterial embolisation group (TAE group) included 51 patients. Results: The median survival time (MST) in the Cons T group was only 16 days and the survival rate was 39% at one month, whereas the MST in the TAE group was 28 days and the one month survival rate was 63%. However, there is no statistically significant difference in the overall survival between Cons T and TAE groups (p = 0.213). Multivariable analysis identified only the presence of distant metastasis as an independent prognostic factor (p = 0.023). A subanalysis including patients without distant metastasis showed that the presence of portal vein tumour thrombosis was a significant prognostic factor (p = 0.015). Conclusions: Distant metastasis appears to be a prognostic factor in spontaneous rupture of HCC. In cases without distant metastasis, portal vein tumour thrombosis could influence the prognosis. Our data failed to prove any benefit of TAE as the primary management. pl
dc.subject.en hepatocellular carcinoma pl
dc.subject.en rupture pl
dc.subject.en prognosis pl
dc.subject.en transcatheter arterial embolization (TAE) pl
dc.description.volume 83 pl
dc.identifier.doi 10.5114/pjr.2018.77024 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska