Prasad Sonal, Xiong Jay, Abdelghani Loui
Department of Internal Medicine, St. Joseph's Medical Center, Stockton, USA.
Department of Pulmonary and Critical Care Medicine, St. Joseph's Medical Center, Stockton, USA.
Cureus. 2024 Jul 11;16(7):e64365. doi: 10.7759/cureus.64365. eCollection 2024 Jul.
Hepatocellular carcinoma (HCC) is one of the most common primary liver tumors in the world. In the United States, it is very uncommon for the liver mass to spontaneously rupture, especially if it has already been treated with embolization. Prompt diagnosis and treatment are necessary to improve the overall prognosis. Unfortunately, even with treatment, the patient can still rapidly decline. We present a case of a patient who was diagnosed with HCC and received treatment with transarterial radioembolization (TARE) with yttrium-90 (Y90). Despite this, the patient's liver mass grew and spontaneously ruptured. Although the patient received additional embolizations for his mass, he still deteriorated and eventually expired.
肝细胞癌（HCC）是全球最常见的原发性肝脏肿瘤之一。在美国，肝脏肿块自发破裂的情况非常罕见，尤其是在已经接受栓塞治疗的情况下。及时诊断和治疗对于改善总体预后至关重要。不幸的是，即使接受了治疗，患者仍可能迅速病情恶化。我们报告一例被诊断为HCC并接受钇-90（Y90）经动脉放射性栓塞（TARE）治疗的患者。尽管如此，患者的肝脏肿块仍在增大并自发破裂。尽管患者因其肿块接受了额外的栓塞治疗，但他的病情仍继续恶化，最终死亡。
