Spontaneous rupture of hepatocellular carcinoma (RHCC) presents a life-threatening complication in 3-15% of patients with HCC. Recent studies show improved survival benefits with transcatheter arterial embolization followed by elective hepatectomy. Despite poor prognosis, active surveillance and multidisciplinary management strategies can enhance short- and long-term outcomes. Achieving hemostasis and stabilizing patients remain crucial in RHCC management, with mortality rates ranging from 25-75% in earlier studies.
Review by Aziz H, Kwon YIC (…) Pawlik TM et 3 al. in J Gastrointest Surg
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