Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand

Objective: To evaluate the computed tomography (CT) findings of ruptured HCC at King Chulalongkorn Memorial Hospital, Thailand. Methods: We reviewed the CT findings of 15 patients who were diagnosed as having a ruptured HCC and underwent CT scan of the upper abdomen. Two experienced radiologists a...

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Main Authors: Mayuree Kittijarukhajorn, Jaturon Tantivatana, Laddawan Vajragupta
Other Authors: Chulalongkorn University. Faculty of Medicine
Format: Article
Language:English
Published: Chulalongkorn University 2011
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Online Access:http://cuir.car.chula.ac.th/handle/123456789/14383
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Institution: Chulalongkorn University
Language: English
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spelling th-cuir.143832011-01-06T08:26:43Z Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand Mayuree Kittijarukhajorn Jaturon Tantivatana Laddawan Vajragupta Chulalongkorn University. Faculty of Medicine Chulalongkorn University. Faculty of Medicine Chulalongkorn University. Faculty of Medicine Liver -- Cancer Tomography Contour protrusion Marginal disruption Surrounding hematoma Objective: To evaluate the computed tomography (CT) findings of ruptured HCC at King Chulalongkorn Memorial Hospital, Thailand. Methods: We reviewed the CT findings of 15 patients who were diagnosed as having a ruptured HCC and underwent CT scan of the upper abdomen. Two experienced radiologists analyzed the CT findings regarding the tumor’s size, tumor’s number, location, hepatic segment involvement, contour protrusion including appearance of the mass and ascites. Results: The study population consisted of 15 men with mean age of 57.4 years (27-78 years). All cases showed liver cirrhosis. All ruptured tumors were located at the periphery of the liver and had a protruding contour. The maximum diameter of the tumors ranged from 2.8-17.2 cm (mean 7.44 cm). Marginal disruption was seen in 9 cases (60 %). Five cases (33 %) presented with hematoma and high attenuation around the ruptured mass. All cases of ruptured HCC had ascites. Conclusion: The peripheral location, protruding contour, marginal disruption of the tumor with the background of a cirrhotic liver are highly suggestive of ruptured HCC. 2011-01-06T08:26:42Z 2011-01-06T08:26:42Z 2007 Article Asian biomedicine : research, reviews and news. 1,3(October 2007) : 289-294 1905-7415 http://cuir.car.chula.ac.th/handle/123456789/14383 en Chulalongkorn University 437209 bytes application/pdf application/pdf Chulalongkorn University
institution Chulalongkorn University
building Chulalongkorn University Library
country Thailand
collection Chulalongkorn University Intellectual Repository
language English
topic Liver -- Cancer
Tomography
Contour protrusion
Marginal disruption
Surrounding hematoma
spellingShingle Liver -- Cancer
Tomography
Contour protrusion
Marginal disruption
Surrounding hematoma
Mayuree Kittijarukhajorn
Jaturon Tantivatana
Laddawan Vajragupta
Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
description Objective: To evaluate the computed tomography (CT) findings of ruptured HCC at King Chulalongkorn Memorial Hospital, Thailand. Methods: We reviewed the CT findings of 15 patients who were diagnosed as having a ruptured HCC and underwent CT scan of the upper abdomen. Two experienced radiologists analyzed the CT findings regarding the tumor’s size, tumor’s number, location, hepatic segment involvement, contour protrusion including appearance of the mass and ascites. Results: The study population consisted of 15 men with mean age of 57.4 years (27-78 years). All cases showed liver cirrhosis. All ruptured tumors were located at the periphery of the liver and had a protruding contour. The maximum diameter of the tumors ranged from 2.8-17.2 cm (mean 7.44 cm). Marginal disruption was seen in 9 cases (60 %). Five cases (33 %) presented with hematoma and high attenuation around the ruptured mass. All cases of ruptured HCC had ascites. Conclusion: The peripheral location, protruding contour, marginal disruption of the tumor with the background of a cirrhotic liver are highly suggestive of ruptured HCC.
author2 Chulalongkorn University. Faculty of Medicine
author_facet Chulalongkorn University. Faculty of Medicine
Mayuree Kittijarukhajorn
Jaturon Tantivatana
Laddawan Vajragupta
format Article
author Mayuree Kittijarukhajorn
Jaturon Tantivatana
Laddawan Vajragupta
author_sort Mayuree Kittijarukhajorn
title Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
title_short Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
title_full Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
title_fullStr Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
title_full_unstemmed Findings of ruptured hepatocellular carcinoma on computed tomography in Thailand
title_sort findings of ruptured hepatocellular carcinoma on computed tomography in thailand
publisher Chulalongkorn University
publishDate 2011
url http://cuir.car.chula.ac.th/handle/123456789/14383
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